I/We, Shri/Smt./M/s. _________________________________________________, residing at ____________________________________________, do hereby solemnly affirm and state as follows:
1. That late Shri/Smt. _________________________________________________ was a Member of ____________________________ Co-operative Housing Society Ltd., holding Share Certificate No. _______ for _______ fully paid-up shares in respect of Flat/Unit No. _______, and expired on __________.
2. That I am/We are the nominee(s)/legal heir(s)/authorised legal heir (strike out whichever is not applicable) entitled to seek admission as a Provisional Member/Member (strike out whichever is not applicable) in respect of the shares and interest of the deceased Member.
3. That I/we hereby indemnify and keep indemnified the Society and its Office Bearers, Committee Members and employees against any and all claims, demands, suits or other legal proceedings that may be made or instituted by any other nominee, legal heir or person claiming through the deceased Member, and against all costs, charges and expenses that the Society may incur in relation to any such claim, demand, suit or proceeding.
4. That I/we make this declaration knowing that the Society admits me/us on the basis of, and in reliance upon, this Indemnity Bond.
Signature of Deponent(s) : _________________________________
Place : ______________ Date : ______________
Witnesses:
1. Name & Address : _________________________________ Signature : _______________
2. Name & Address : _________________________________ Signature : _______________
