Print PDF
Annexure E
Note: To be executed in the presence of a Public Notary / Gazetted Officer
Bond of Indemnity to be furnished jointly by all Legal Heir(s) including the Claimant(s)
(To be submitted on Non-judicial Stamp Paper of appropriate value)
[For Transmission of Securities on death of Sole Securities’ Holder, where no nomination has been registered]
I/We do hereby solemnly affirm and state on oath as follows:
That Mr./Ms. was holding the following securities:
Name of the Company Certificate No. Distinctive No. Folio No. No. of securities held
That the aforesaid deceased holder died intestate on , without registering any nominee, leaving behind him/her the following persons as the only surviving legal heirs, according to the laws of intestate succession applicable to him/her by which he/she was governed at the time of his/her death.
Name of the Legal Heir(s)/Claimant(s) Address and contact details Age Relationship with the Deceased
OR
That the aforesaid deceased holder died on , without registering any nominee, leaving behind him/her the following persons as the only surviving legal heirs, according to the laws of testamentary succession.
Name of the Legal Heir(s)/Claimant(s) Address and contact details Age Relationship with the Deceased
Therefore, I/We, the Legal Heir(s)/Claimant(s) and deponent(s) herein has/have, approached with a request to transmit the aforesaid securities in the name of the undersigned Mr./Ms. , on my/our behalf, without insisting on production of a Succession Certificate/Probate of Will/Letter of Administration or any Court order, for which we execute an indemnity as is herein contained and on relying on the information herein given by us, believing the same to be true.
In consideration therefore of my/our request to transfer/transmit the above said securities to the name of the undersigned Mr./Ms. ,
I/We hereby jointly and severely agree and undertake to indemnify and keep indemnified, saved, defended, harmless, and its successors and assigns for all time hereafter against all losses, costs, claims, actions, demands, risks, charges, expenses, damages, etc., whatsoever which they may suffer and/or incur by reason of transferring the said securities as herein above mentioned, at my/our request to the undersigned Mr./Ms. , without insisting on production of a Succession Certificate/Probate of Will/Letter of Administration or any Court order.
IN WITNESS WHEREOF the said
1) Mr./Ms. X
2) Mr./Ms. X
have hereunto set their respective hands and seals this day of . Signed and delivered by the said legal heir/s.
(*) = Name of the deceased security holder (#) = Name of the claimant/s
Name of the Legal Heirs Signature of the Legal Heirs
1) X
2) X
3) X
Signed before me at:
on:
Signature of Notary
Official stamp & seal of the Notary & Regn. No.: