FORM
NO. III: Form of Indemnity Bond
See rule 6(3)
To
The Registrar of Companies,
__________________
__________________
In consideration of your agreeing to pay
me the sum of Rs. ____________ (Rupees _________________)
only, being the amount due to me on dividend for the year
_____________ from M/s. __________________________ out of
the
(Name of the company)
General Revenue Account of the Central Government,I
________________ son/daughter/wife of _________________ do
hereby agree to indemnity you to the extent of any claim not
exceeding the amount hereinbefore mentioned which may be preferred
against you, and which you may have to lawfully discharge
Date _____________
Place ____________
____________________
(Signature)
Witnesses
1. _________________________________________
(Signature)
Address _____________________________________
2. __________________________________________
(Signature)
Address ________________________________________________
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