a format of the Indemnity Bond cum Affidavit - Cgglobal.com

PLEASE READ INSTRUCTIONS BEFORE COMPLETING THIS FORMINDEMNITY CUM AFFIDAVITON STAMP PAPER OF RS 300/-TO BE NOTARISEDThis Indemnity cum Affidavit is executed at ___________ this ____ day of ________, by :(1) Mr ______________ Age: ____ years, Occupation: ____, residing at ____________________(hereinafter referred to as “Indemnifier 1”)(2) Mr ______________ Age: ____ years, Occupation: ____, residing at ____________________(hereinafter referred to as “Indemnifier 2”)(3) Mr ______________ Age: ____ years, Occupation: ____, residing at ____________________(hereinafter referred to as “Indemnifier 3”)(4) Mr ______________ Age: ____ years, Occupation: ____, residing at ____________________(hereinafter referred to as “Indemnifier 4”)(5) Mr ______________ Age: ____ years, Occupation: ____, residing at ____________________(hereinafter referred to as “Indemnifier 5”)(hereinafter, collectively referred to as “Indemnifiers”). 3IN FAVOUR OFCROMPTON GREAVES LIMITED, a Company having its Registered Office at 6 th Floor CG House DrAnnie Besant Road, Worli, Mumbai 400 030, hereinafter called “the Indemnity Holder”.The expressions, “Indemnifier”, “Indemnifiers” and “Indemnity Holder(s)” shall, unless it be repugnant tothe context or meaning thereof, be deemed to mean and include their respective successors and assigns.The abovementioned Indemnifiers do solemnly affirm and declare as follows:(1) The following shares of Crompton Greaves Limited are registered in the name of Late_______________:Folio NoNo ofShares(FaceValue pershareRs___)CertificateNo(s)FromDistinctive No(s)To3 Indemnifiers will be all heirs and two sureties

(2) Mr/Ms. __________ died without leaving a will (intestate) and though due and diligent search hasbeen made for his / her will, no such will has been found so farOR 4(2) Mr/Ms. __________ died leaving his last will and testament dated ______ in respect of which noprobate/letter of administration/succession certificate had been obtained.(3) Under the personal law, applicable to the deceased, the following become his sole legal heirs andare entitled to inherit jointly the aforesaid shares.a. Mrs ......................................... Wifeb. Mr .......................................... Sonc. Ms .......................................... Daughter(4) The above mentioned shares were the separate and self acquired property of the deceased.(5) Indemnifier 1, Indemnifier 2*, Indemnifier 3* are the legal heirs and do hereby give consent for thetransfer of these shares into the name of ......................................... (hereinafter referred to as“Beneficiaries”) and to pay to them the arrears of dividend , if any and also issue in bonus shares, onthe said shares, without insisting on production of legal representation to the estate of the deceasedshareholder.(6) The following information may be relied upon for processing the transmission formalities:1. Full Name and address of the deceased member:2. Nature of shareholding – single / joint:3. Date of death of the deceased as per English Calendar:4. Present market value of shares held in the Company:5. Name of the person in whose custody the sharecertificates are presently available and reasons therefor:6. No of shares held by the deceased in other companies:Name of CoNo of shares.......................... ................................................. .......................7. Particulars of the property (movable & immovable) ofthe deceased other than shares:8. Particulars of the debts of the deceased. Please statethe amount and nature of debts:9. Full details of surviving legal heirs:Name Address Relationship Age Marital Status Guardian details 5with the Deceased(i)(ii)(iii)(iv)10. Law by which the deceased was governed(If Hindu or Mohammaden state the school of Law):11. Heirs of the deceased in according with the aforesaid law:4 Strike out whichever is not applicable5 Indicate in case of minor children of the deceased. Please mention name, address, whether natural guardian orappointed under Guardian And Wards Act.

12. In case deceased was member of Hindu UndividedFamily(HUF), full details of surviving legal members:Name Address Relationship with the Deceased Age Marital Status(i)(ii)(iii)13. Specify whether deceased was "Karta" of the HUF:14. Specify whether the shares in the Company were part ofhis personal estate or part of HUF property:15. Particulars of the Beneficiaries:Name Father’s / Address Occupation Relationship Age MaritalHusband’s with the Deceased StatusName(i)(ii)(iii)16. Residential Status of the Beneficiaries : Resident / Non Resident17. Names of Indemnifiers who are acting as sureties:18. Any other information to support the : ....................................................Beneficiaries claim to the shares of the ....................................................deceased member .....................................................(7) In consideration of the Company transferring the abovementioned shares as requested at Clause (5)all the Indemnifiers hereby undertake jointly and severally that:(i) they themselves and their heirs, executors and administrators respectively, will at all times andfrom time to time save, defend, keep harmless and indemnify the Company, its successors,assignees and the Directors thereof and their respective heirs, executors, administrators, estatesand effects from and against all actions, causes, suits, proceedings, accounts, claims, demands,and all losses, damages, costs, charges, liabilities, expenses and sums of money incurred inrespect thereof, whatsoever on account of the Company, at their request, transferring theabovementioned and also Bonus shares to the Beneficiaries and paying arrears of dividend onthe said shares, without insisting on the production of legal representation to the estate of thedeceased shareholder.(ii) the determination by the Indemnity Holders of the extent of any and all such losses, damages,claims, penalties, proceedings, costs and all other liabilities, shall be binding on all theIndemnifiers, without questioning the reasonableness, validity or otherwise of any paymentsmade by the Indemnity Holders, in response to a claim that has been made by the IndemnityHolders;(iii) In case, the Indemnifiers fail to defend, settle or mitigate the claim, the Indemnity Holders shallhave full rights to defend, pay or settle said claim on the Indemnifiers’ behalf, without notice toIndemnifiers, and notwithstanding any direction on the contrary by the Indemnifiers, with fullrights to recourse against the Indemnifiers for all fees, costs, expenses and payments made oragreed to be paid to discharge the claims.(iv) Upon default, the Indemnifiers further agree to pay all reasonable attorneys’ fees necessary toenforce this Agreement.(v) This Agreement shall be unlimited as to amount or duration.

(vi) This Indemnity is in addition to and not in derogation of any other Indemnity/Guarantee and/orSecurity which the Indemnifiers may have executed in favor of the Indemnity Holders or whichIndemnity Holders may at any time hold.(vii) that this Indemnity cum Affidavit shall ensure upon and also be enforceable jointly and severallyagainst all the Indemnifiers and all their respective legal heirs, representatives, successors andassigns, for all times in future.(8) In consideration of the Company transferring the abovementioned shares as requested at Clause (5)the Indemnifiers hereby declare and agree that in the event of their failure to compensate theIndemnity Holders as per Clause (7) above, the Company can have a lien in general on allshares/debentures or other securities which the Indemnifiers may be holding presently or in thefuture and also the dividend. interest declared or payable on the shares/debentures or othersecurities.VERIFICATIONWe, the Indemnifiers abovenamed, do hereby verify that the statements mentioned in the aboveparagraphs are true to the best of our knowledge and belief and that nothing material has been concealed.Verified at ................................. on this ..............day of .............20IN WITNESS WHEREOF the Indemnifiers have hereunto set and subscribed their hands to this documentthe day and year hereinabove mentioned.Heir 1Heir 2Heir 3Surety No 1Surety No 2Witness for Heir 1Witness for Heir 2Witness for Heir 3Witness for SuretyNo 1Witness for SuretyNo 2Name 6 Address Signature Phone No Email Id BankDetails 7: BEFORE ME(Signature & Stamp ofNotary Public)6 Please take care that sureties and witness are not the same individuals. Further sureties should be inaddition to the heirs7 Name of Bank, Branch and Account No. to be filled in

SURETY DETAILSSURETY NO 1 8(Private & Confidential)1. Name in Full :2. Permanent Residential Address :3. Phone no :4. E-Mail Id :5. Age :6. Employment :(i) Place of employment(ii) Name of employer(iii) Annual salary and other emoluments7. Details of immovable property owned(absolutely in your name, not as member ofHUF) within municipal limits*(i) Situation(ii) Valuation(iii) Annual rent realized(please specify whether the immovable propertyconsists of houses or mere lands)8. Nature and value of business*(In your own name & not as partner)(i) Annual turnover(ii) Annual ProfitsDate:(Signature of the Surety)Note: Reply if applicable, otherwise kindly write NOT APPLICABLE against the relevant Column.8 Sureties should be different to the shareholders and witnesses

SURETY DETAILSSURETY NO 2 9(Private & Confidential)1. Name in Full :2. Permanent Residential Address :3. Phone no :4. E-Mail Id :5. Age :6. Employment :(iv) Place of employment(v) Name of employer(vi) Annual salary and other emoluments7. Details of immovable property owned(absolutely in your name, not as member ofHUF) within municipal limits*(iv) Situation(v) Valuation(vi) Annual rent realized(please specify whether the immovable propertyconsists of houses or mere lands)8. Nature and value of business*(In your own name & not as partner)(iii) Annual turnover(iv) Annual ProfitsDate:(Signature of the Surety)Note: Reply if applicable, otherwise kindly write NOT APPLICABLE against the relevant Column.9 Sureties should be different to the shareholders and witnesses