INDEMNITY BOND FOR DUPLICATE SHARE CERTIFICATE

(To be executed on Rs.100/- non-judicial stamp paper)

I/We am/ are share holder(s) of the Syndicate Bank and hold shares of the face value of Rs.10/- each as per the details below:

FOLIO NO. / NO. OF SHARES HELD / SHARE CERT. NO.(S) / DIST. NO.(S)

I/We hereby confirm that I/we have received the share certificate in respect of the said shares but they are lost/ misplaced. The said shares were not accompanied by any blank transfer deed signed by me/us and that I/we have not nor has any person by me/our order in any manner disposed off parted with or pledged the said shares or assigned my/our interest therein or any part thereof to any person. I/we am/are the sole and absolute owners of the shares covered by the share certificates, I/we will surrender or cause the same to be surrendered to the Bank, if and when the same are found.

I/We therefore request to issue a duplicate of the said share certificate.

In consideration of the Bank so doing, I/we hereby indemnify the Bank and bind myself/ ourselves, our heirs, executors and administrators to pay all claims, charges, costs, damages, demands, expenses and losses, which the said Bank may sustain, incur or be liable for in consequence of having issued duplicate share certificate as per my/our request. The Bank may realize the said claims charges, costs, damages, demands, expenses and losses from me/us personally, either individually or jointly, or my/our heirs executors or administrators or properties as the case may be.

I/We, the undersigned, certify that the above facts are true and bind myself/ ourselves to make good all claims, charges, costs, damages incurred or be liable for in consequence of complying with the request contained above and the Bank will be entitled to realize all claims, charges, costs, damages, demands, expenses and losses from my/ our persons or my/our heirs or my/our properties, as the case may be.

IN WITNESS THEREOF I/WE SIGNED THIS THE ……………………..DAY OF

………………………………….TWO THOUSAND TWO.

NAME(S) & SIGNATURE OF SHAREHOLDER(S)

ADDRESS OF SHARE HOLDER(S)

1) ……………………………………..

2) ……………………………………...

3) ……………………………………..

NAME & ADDRESS OF WITNESS SIGNATURE OF WITNESS

…………………………………….

AFFIDAVIT FOR DUPLICATE SHARE CERTIFICATE

(To be executed on Rs.50/- non-judicial stamp paper)

I/We am/are share holder(s) of the Syndicate Bank and hold shares of the face value of Rs.10/- each as per the details below:

FOLIO NO. / NO. OF SHARES HELD / SHARE CERT. NO.(S) / DIST. NO.(S)

I/We solemnly and sincerely swear and state as under:

  1. That the said share certificate(s) covering the said shares has/ have been lost/ misplaced/ not received and it is/ they are not in my/our possession.
  2. That I/We have not transferred the said shares or any of them in favour of any other person and I/We have not executed an instrument of transfer for the said share in favour of any person.
  3. That I/We have filed a request to the SyndicateBank to issue duplicate share certificate for the said shares.

NAME(S) & SIGNATURE OF SHAREHOLDER(S)

ADDRESS OF SHARE HOLDER(S)

……………………………………..

1) ……………………………………...

2)

3)

VERIFICATION

I/We solemnly verify that the facts stated above are true and that nothing material had been concealed.

NAME(S) OF SHAREHOLDER(S) SIGNATURE OF SHAREHOLDER(S)

1) ……………………………………...

2)

3)

NOTE: This affidavit should be verified in the presence of the First Class Magistrate or a Notary Public. In the event of verification in the presence of a Notary Public, the Affidavit should contain the requisite/ Special Adhesive Stamps (Notarial stamp).

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SyndicateBank