Shri/Smt. Office of the Insurance Ombudsman, Hindustan Bldg. Annexe, 4th Floor, 4, C.R. Avenue, KOLKATA - 700 072. Tel.: 033 - 00000000 / 22124340Fax : 033 - 22124341Email: xxxxxxxxxx.xxxxxxx@xxxx.xx.xx West Bengal, Sikkim, Andaman & Nicobar Islands. LUCKNOW -Shri/Smt....
Shri/Smt. (Borrower)
Shri/Smt. (Co-borrower) The Borrower(s)
Shri/Smt. Kum ………………………………son / wife / daughter of sole proprietor of M/s. ……………………………. Indian Inhabitant, residing at ……………………………………………….. AND
Shri/Smt. M/s…………………………………………………………, the owner of the property, situated at / residing at hereinafter referred to as the ‘Third party’ (which expression shall unless repugnant to the context or meaning there of include the successors and assignees of the Third Party).
Shri/Smt. Office of the Insurance Ombudsman, Xxxxxxx Xxxxx Palace 4th Floor, Main Road, Naya Bans, Sector 15, Distt: Gautam Buddh Nagar, U.P-201301. Tel.: 0000-0000000 / 2514252 / 2514253Email: xxxxxxxxxx.xxxxx@xxxx.xx.xx State of Uttaranchal and the following Districts of Uttar Pradesh: Agra, Aligarh, Bagpat, Bareilly, Bijnor, Budaun, Bulandshehar, Etah, Kanooj, Mainpuri, Mathura, Meerut, Moradabad, Muzaffarnagar, Oraiyya, Pilibhit, Etawah, Farrukhabad, Firozbad, Gautambodhanagar, Ghaziabad, Hardoi, Shahjahanpur, Hapur, Shamli, Rampur, Kashganj, Sambhal, Amroha, Hathras, Kanshiramnagar, Saharanpur.
Shri/Smt of the firm M/s. ………………………………………………….registered with MCYNR-JGD as Outdoor Media Agency hereinafter referred to as the ‘Second Party’ (which expression shall unless repugnant to the context or meaning there of include the successors and assignees of the Second Party).
Shri/Smt agrees to stand as Surety for the due performance of the obligation of the Employee under this bond/agreement. In case of breach of the terms of this indemnity by the Employee and failure to indemnify the Employer Bank, the Surety shall jointly and severally liable to pay the aforesaid amount of Rs. 50,000/- (Rs. Fifty thousand only) to Employer Bank immediately.
Shri/Smt aged ...... years residing at................................. hereinafter called the “PURCHASER” (which expression shall mean and include his heirs, successors, executors, administrators, legal representatives, attorneys and assigns) of the OTHER PART.
Shri/Smt. The Common seal of the Municipal Corporation of Greater Mumbai was affixed on the day of …......20 presence of 1. …..............................................................
