INDIA NON JUDICIAL

Government of Uttar Pradesh ATTESTEED

.
AA.aAIDA9
e-Stamp Mohàmp SalmanAli

Sta T p e re n d o r

Civil CourtChaziabad

Certficate No. IN-UP93363836479462U

Certificate Issued Date 12-Sep-2022 04:46 PM

SADAR/ UP-GZB,
Account Reference NEWIMPACC (SV)/ up14090904/ GHAZIABAD
.12 SEP 2022

Unique Doc. Reference SUBIN-UPUP1409090479322406409027U

Purchasod by NIDHI CHHABRA

Description of Document Article 19 Certilicato or other Document

Property Description Not Applicable

Consideratton Price (Rs.)
First Party NIDHI CHHABRA

Second Paty IFL

Stamp Duty Paid By NIDHI CHHABRA
100
Stamp Duty Amount(Rs.) (One Hundred only) ARIAL

A
R.C. A
Not/ 360

Go
1 2 SEP 2022
 IRL Gold Loan

(SIGNATURE/S)

Attested by Notary Public

Witnesses:

Annexure - Ill

ACKNOWLEDGEMENT OF RECEIPT
From:

(Claimants)

To: India lInfoline Finance Limited (lIFL)

Pad-aP Vikasgranch
Dear Sir,

My/our claim application dated 99 lo-H202 pertaining to securities deposited/pledged by

late lendisa adav
i/We hereby acknowledge the receipt of the following securities in full settlement of my/our claim pertaining
to the securities belonged to late.. .which were lying with you
heve ceceived the below mentioned articles in good condition. pledged/deposited as security. We

GL No. Nature of A/c. Gross Weight

RC.S
Particular
.302
Nocsy

GLI8333eoh| Gold loan 49 Chain-1os

Yours Faithfully,

Place 00P INOI

Date:

To be signed across Receipt stamp of ATTESTzD

Rupee One)

K.C. SHARMA 2022

NotaryCha7abad SEP
12 560
Re. NG
 INDIA NON JUDICIAL

Government of
Uttar Pradesn aTTESTED
A T T E S T E D

e-Stamp Mohmmad SelmanA

S t a m p o p e r veIAOY
Civil Court Chazibad
IN-UP93363836479462U
Base Certificate No.

Certificate No. IN-UP93367138365606U

12-Sep-2022 04:47 PM
Certiticate Issued Date
SADAR/UPSZB)
1 2 SEP2022
GHAZIABAD
NEWIMPACC (SV/ up14090904/
Account Reference
SUBIN-UPUP1409090479333009430273U

Unique Doc. Reference

NIDHI CHt iABRA
Purchased by
Article 19 Certilicate or other Document
Description of Document

Property Description Not Appicable

Consideration Price (Rs.)

First Party

Second Party
:NIDHI CHHABRA
IFL
4
NIDHI CHHABRA
Stamp Duty Paid By
100
Stamp Duty Amount(Rs.) (One Hundred only)
NoNoTARIALD
Rez ia 0

C- ,

RC. S MA
Noca/sa0al
R i60

bilChcb 2022
SEP
1 2
 Gold Loan

Annexure - II

LETTER OF AUTHORITY

From:

(All Legal Heirs)

Place: h a z u a b a d

Date:

To:

India Infoline Finange Limited (lIFL)

atcAA..diba1... Branch.

Dear Sir,

Sub: Settlement of claim pertaining to securities of the Gold Pledged by Late

Mr.Shailemdna ada2y

Ref.: My/our claim application dated_19loa 2o22

to receive the securities of

/We hereby authorise Smt. /Shri. . . I h . . C h b a b a . . . . ************

late bailenobghe details of which are as under:

Yadav
No. Nature of A/c. | Gross Weight Particular| Date of Deposit Due date
RC. SaRMA

Notcasy 60 Gold Loom 49Chaih 0)

Rc

and to execute all papers/documents that maybe required by you, including stamped
discharge/acknowledgement and indemnity with-or without urety for and on my/our behalf and in my/our
name.
ATTESTED
Yours faithfully,
K.C. SHAEMA- 202

N o t e r r y h a r i a b a d
SEP

Reg. No.- 560 12

 INDIA NON JUDICIAL

Government of Uttar Pradesh ATTESTED

e-Stamp
Mohabsmad SalrmAA
Base Cenificate No.
IN-UP93363836479462U Samp Pp Ven@T
Certificate No. Civil Cout Gkaaaand
IN-UP93372026544848U
Certificate lssued Date
Account Reterence
12-Scp-2022 04:49 PM 2022
NEWIMPACC (SV)/ up14090904/ GHAZIABARS
Unique Doc. Rcierence
Purchased dy SUBIN-UPUP14090904793425 14319968U
Description of Document
NiDHI CHiABRA
Article 19 Certificate or other Document
Property Description Not Applicable
Consideration Price (Rs.)
First Party
NIDHI CHHABRA
Second Party IFL
Stamp Duty Paid By NIDHI CHHABRA
Stamp Duty Amount(Rs.) 100 R SRaMA
(One Hundred only)
TARIA0

A
Mid Chab RC.SY
Notry
A
anau
60

Gov
2022

SEP

1 2
 Gold Loan

Annexure D Documentsto be executed in Death Case Release

Annexure - I

DECLARATION CUM INDEMNITY AGREEMENT

(For claiming the jewels pledged by a deceased customer)

We,
5. Mr/Mrs. S h a i l e r d e a Yadavaged about 6 vears, widow of late
Mr.

6. Mr/Mrs. _aged about _years, son of late

Mr.

7. Mr/Mrs.. aged about years, Daughter of late

Mr.

8. Mr/Mrs. ._aged about _years Mother of late

Mr.
All residing at

do hereby solemnly
affirm and state on oath as follows:

4. We state that Mr. has expired on

5. We state that Late Mr Shailenda o d a w has availed gold loan with
A India Infoline Finance Limited (lIFL) at Psolap 1ranch as detailed below
No. Nature of A/c. Gross Weight Particular Date of Deposit Due date
K.C. SAAMA
Nocuv
Rezu\60 |hald Laan 44m Chain-l

6. We declare that we are the only legal heirs of late. and there is no
other legal heirs/claimants for the aforesaid Gold. We will repay the entire loan together with
interest and charges. In case of any claim from any person whomsoever, we undertake to
indemnify and keep IFL and its officers harmless for all the future claims, costs, damages,
charges and penalties arising out of our's claiming the aforesaid gold.
 INDIA NON JUDICIAL

Government of Uttar Pradesh

ATTESTED
e-Stamp
lohannadEmaKAli
Certificata No.
Certficate Issued Date :IN-UP93477088117756U StazTaper Vendor
12-Sep-2022 06:00 PM Civil Court Ghaziabad
Account Reference NEWIMPACC (SV up14090904/ GHAZIABAD SADAR/
1 2S E P2 0 2

Unique Doc. Relerence

Purchasedby SUBIN-UPUP1409090479554255679704U
NIDHI CHHABRA
Descapton oi Document Article 19 Certilicate oi oter Document
Property Description Not Applicablo
Consideratüon Price (Rs.)
First Party
NIDHI CHHABRA
Second Party
IFL
Stamp Duty Paid By NIDHI CHHABRA
Stamp Duty Amount(Rs.) 100
(One Hundred only)
KSYARMA

NoTARIALac.

Rea 60

.o

R.C. SHA9A
Notrv

oleChabs OVT.
1 2 SEP 202

.
 Gold Loan

Letter of Indemnity for loss of Token Card &Issue for Duplicate Token
Card
(Tobe stamped as an "Indemnity
asper provisions of relevant State stamp Act)

Date:

India Infoline Finance Ltd.

BKC office 12A-10, 13th floor Parinee

Crescenzo,
C 38& 39G block, Bandra Kurla complex,
Bandra East, Mumbai- 400051

Dear Sirs:

Unique ldentity Number of the Borrower .GASBBIC

Gold Loan Account No: L1933260
Loan Amount: 201119..
BranchName:..aa VLka
Branch Code.. M:668.3.

IWe write to inform you that

I / we have irretrievably lost misplaced the token card dated
2 2 which had been earlier issued
by you to me. I/ We request you to issue to me a
token card in lieu of the aforesaid lost/ duplicate
misplaced token card.

tensideration of the aforesaid premises, 1/we confirm that:

RC.SA
cChhaboy
R e e o u/Me
Matar) eshall
ahall hhandover the original token card
if found by me/ us;
/We shall not make any claims or demands under the original token
card;
 Gold Loan
(ii) / We hold you harmless and keep you indemnified from and
against all losses, costs, damages,
claims, demands, proceedings as may be suffered, incurred,
paid, sustained by you or made against
you by:

a ) eason of your issuing a duplicate token card at my / our request or by reason of the original
cstAA tpker card being at any time found and presented for payment by me /us or any other person;
Nocr&atahd/or

Ab) any person(s) claiming to be the holder(s) of the token card or in any way interested therein;

o I/ We shall, immediately upon demand from you, make payment

damages or expenses as may be suffered / incurred/ paid by you.
of all such costs, charges, losses,

Yours faithfully,

oiche habos
Signature(s) of the holder/s

of the original token card)

Name (i):

Address:

A T T E S T E D

K.C. S AA.
Nata
Reg. No.- 5oU

1 2 SEP 2 0 2
 IFL Gold Loan

Annexure-2

Request Letter

Date:2/09 29

To,

The Branch Manager

lIFL Gold Loan,

Branch Name)
Subject: Loan closure in the event of Loss of Borrower copy/Token loss for -
GL12233 604
Prospect No)
Dear Sir/Madam,
GLa333604
In the subject matter, i/We have lost the Borrower Copy - (Prospect No._I/We want to Close the
Gold Loan Account, hence I/We are submitting KYC and Other necessary Documents as required.
Kindly acknowledge receipt of all the documents.

Subject to re-payment of all the outstanding dues request you to kindly close the said Gold Loan
Account and release the ornaments.

Thanks & Regards e

i C h a b a

(Customer Name & Signature)

P
T
an
w
1
 AFFIDAVII
Certified that Shailendra Singh S/o Mr. Virendra Singh was a resident of my
Village Panchayat Fatehpur Kalan Post Soron District Kasganj (U.P.) his
death has been done on 17/07/2022 in Village Fatehpur Kalan on the basis
of witnesses.

, knew them very well/Palam.

1. Ankit Kumar S/o Virendra Singh R/o Village Panchayat Fatehpur Kalan
Post Soron District Kasganj (U.P.) Mob No.8218558540

2. Akhlesh Kumar S/o Ramdutt R/o Village Panchayat Fatehpur Kalan Post
Soron District Kasganj (U.P.) Mob No.9759198516

3. Sarvesh Kumar S/o Tilak Singh R/o Village Panchayat Fatehpur Kalan
Post Soron District Kasganj (U.P.) Mob No.8394915211

4. Arvind Kumar S/o Tilak Singh R/o Village Panchayat Fatehpur Kalan Post
Soron District Kasganj (U.P.) Mob No.8393805221

5. Amit Kumar S/o Shaitan Singh R/o Village Panchayat Fatehpur Kalan Post
Soron District Kasganj (U.P.) Mob No.9759531094

A 6 Mukesh Kumar S/o Singh R/o Village Panchayat Fatehpur

Puran Kalan
NOTLRISCD Post Soron District Kasganj (U.P.) Mob No.9759463564

ce
LGG
O55575463

.OF Oxqne
S e a m

ATTEP2
VIJA KUAAR
Regd. No. 2453
Notary Ghaziabad
 CERTIEICATE
FROM THE HINDU MARRIAGE REGISTRAR
(a) Name of applicant..SHAT.ENR.RA. KuMAR.*****'***'*****"'°* ***** '*°*

(b) Date on which application for Registration Made...2aa4......,..

(e) Date of Marriage. O.04. *********.

(d) Place of Marriage. AGRA.*****''**' ** ***'********

1. PARTICULARS OF THE BRIDE

GROOM;
(a) Name.SHAENDRA.KuMAR.
(b) Father's Name...SHREs.UeerENDR..SINGH. **'''''*'*"***'****

(c) Usual Place of Residence.. .AGRA... ********

(d) Age at the Time of

Marriage.....YEARS. *** ***

(e) Status at the Time of marriage. NMA.R.R1ED..

2. PARTICULARS OF THE BRIDE

apene

(a) Name. NIRHIGHHABRA *****'** *********

* * **

(b) Father's Name..SHRs SURESH.KuMAR.CHHA BRA... *******

(c) Usual Place of

Residence..... AGRA. ********:

(d) Full Addres...A7..NEW.

AaRA, ARA.. ****
'**''
**** '**** ****' **** **

() Age at the Time of Marriage.

3.YEARS.. *****°

Status at the Time of marriage..

AmA RRAER.
Certified that the above is true extract of all entries in the Hindu
remaintaned under the Hindu Marriage
Marriage
Registration Rules P979 it to No.
The Application was received by me on.1-02- O and it is fited regd. at
Serial No.. eo... .on PageA61/28Y.Volume
K. .of.
Hindu Marriage Registration (U.P.) Rules 1973.
Hindu Marriage Registrar,
Date.07-02:04 CIL31 555754635
AGRA (U.P.)
Regstyar of Hindu Marrage*
AGKA (UPIA
7
/ C L
*****1**t1****a~t* 1'*a7'ti********** f***"****** *