[HEADER — replace with your organisation’s letterhead, if used]
Indemnity Bond
To be executed on non-judicial stamp paper of the value prescribed in the relevant State
State the value of the stamp paper and the date and place of purchase in the space provided by the vendor. The bond is executed by the indemnifier alone; the indemnified party does not sign, though a countersignature acknowledging receipt is often taken in practice.
KNOW ALL MEN BY THESE PRESENTS that I / We, [NAME OF INDEMNIFIER], [son / daughter / wife of ______, aged ______ years] / [a company incorporated under the Companies Act, 2013 bearing CIN ______], holding PAN [PAN] and [AADHAAR / IDENTITY DOCUMENT NUMBER], residing at / having my / its registered office at [ADDRESS] (hereinafter referred to as the "Indemnifier", which expression shall include heirs, executors, administrators, legal representatives, successors and assigns), do hereby execute this Indemnity Bond in favour of [NAME OF INDEMNIFIED PARTY], [constitution], having its registered office / place of business at [ADDRESS] (hereinafter referred to as the "Indemnified Party", which expression shall include its successors and assigns), as follows:
Whereas
A.The Indemnifier [DESCRIBE THE FACTS GIVING RISE TO THE BOND — e.g. was issued share certificate no. ______ for ______ equity shares of ______ Limited, which has been lost / has requested the Indemnified Party to release the amount of ______ without production of the original document / has requested the Indemnified Party to effect the transfer described in the Schedule].
B.The Indemnifier has requested the Indemnified Party to [DESCRIBE WHAT IS SOUGHT — e.g. issue a duplicate share certificate / release the said amount / effect the said transfer / act on the Indemnifier’s instruction] (the "Requested Act").
C.The Indemnified Party has agreed to accede to the said request solely on the faith of the representations made by the Indemnifier and on the Indemnifier furnishing this Indemnity Bond, and would not otherwise have done so.
NOW THIS INDEMNITY BOND WITNESSETH as follows:
1. Representations
1.1The Indemnifier represents, warrants and confirms that:
(a)the statements made in the recitals above and in the Schedule are true, correct and complete, and no material fact has been suppressed;
(b)the Indemnifier is the person lawfully entitled to make the request set out above and has full capacity and authority to execute this bond;
(c)[the original document has not been sold, pledged, transferred, deposited by way of security or otherwise disposed of, and no other person has any right, title, interest, claim or lien in respect of it];
(d)the Indemnifier has not made any similar request to the Indemnified Party or to any other person in respect of the same subject matter; and
(e)the Indemnifier shall forthwith notify the Indemnified Party in writing, and shall surrender the original, if the original document is at any time found or recovered, or if any of the above representations ceases to be true.
2. Indemnity