TO BE EXECUTED ON A Rs.

100/- NON JUDICIAL STAMP PAPER AND SIGNED BY ALL THE

DEPOSITORS IN ALL THE PAGES.
INDEMNITY BOND

FROM; Date :-

To:

SHRIRAM TRANSPORT FINANCE CO LIMITED,

Belapur, Navi Mumbai

Sir/Madam,

Sub: Certificate /Deposit receipt Misplaced

Ref: Certificate /Receipt No. ___________

I/We have to inform you that the above mentioned certificates/deposit receipts have been misplaced.

I/we cannot surrender the same for Refund/Renewal. In view of the above, I/We hereby, indemnify you from any
loss arising out of the above certificates/deposit receipts, and I also assure you that there will not be any further
claim against those certificates/deposit receipts by anybody.

Hence I/We request you to issue duplicate certificate /deposit receipt as mentioned above and oblige.

I/We further state that that I /We have not pledged / mortgaged the certificate/deposit receipt with any Bank,
financial institution or person

That I/we will reimburse, defend and keep harmless the Company, its directors and officers for all costs including
lawyer’s fees, charges etc.

I /we also hereby undertake that if at any time the certificate/fixed deposit receipt is found, I /we will surrender the
same to the Company for cancellation.

I/We herewith submit the current self-attested KYC for verification.

Thanking You,
WITNESS:

SIGNATURE 1.
1st Named Investor/Depositor

1st Joint Holder

2.
2nd Joint Holder