(BUYERS FORMAT) INDEMNITY BOND FOR DUPLICATE SHARE CERTIFICATE (1) (To be executed on a Non-Judicial Stamp Paper of Rs.100/-) To Dear Sirs, WHEREAS I/We Mr/Mrs/Ms.___________________& Mr/Mrs/Ms__________ residing at _____________________________________________________________ had purchased from the market for valuable consideration, securi- ties of your Company as detailed herein under. Name of the Registered No of shares Cert no Distinctive Holder & folio No From To WHEREAS The above certificates alongwith the transfer deeds duly signed by the Registered Holders and by me/us were sent by me/us to the Company its agent and have been lost or misplaced in transit and the same cannot be found despite best effort to trace them. I/We had purchased from the market through______________________ Stock and Share Broker and Member of ___________(stock exchange) ___________number equity shares/debentures/bonds/units for Rs.______________each of vide broker bill no.____________dated_________(copy enclosed). I/We had made payments to the said Broker vide cheque No.______________ dated _________drawn on ________Bank for Rs._______which stands paid confirmed by broker vide his letter dated_______(copy enclosed). The property,beneficial interest and right in the said securities has been acquired by me and stand vested in me for the reason of my having paid the valuable consideration and that such consid- eration having been received by the transferors have been lost mislaid in transit and I/We solemnly affirm and declare that the securities have not been sold by me/us and the property in the said securities belong to me/us as on the date of this declara- tion. And whereas I/We are desirous of obtaining duplicate certificates to be issued in our names against the original which have been lost or mislaid in transit. Now this Deed of Indemnity Witnesseth as under: In consideration of the Board of directors/Committee of Directors of the Company agreeing to issue Duplicate Certificates in the name of the Registered Holder in respect of the shares aforesaid. I/We Mr/Mrs/Ms____________________ Surety 1. Residing at Surety 2. Residing at (names of the two sureties) for ourselves,respective heirs, exeuctors and administrators do hereby jointly and severally convenant with the company, its successors or assignees that we and our heirs,executors and administrators, respectively will at all times and from time to time save, defend and keep harmless and indemnify the company, its successors,assignees, agents and the Directors thereof and their respective heirs,executors,admin- istrators each of their estates and effects from and against all actions, causes on account of the said securities or any of them or part of any person or persons whomsoever and against all damages and costs, charges,expenses or sums or money incurred in respect thereof or otherwise in relation to the said securities. I/We declare that I/We have not pledged or deposited the original certificate(s) by way of security or otherwise,or transferred or sold, the said securities or any of them and I/We agree and con- firm to return forthwith or any of them to the company for the purpose of cancellation the said original certificate(s) in case, the same shall be found anytime hereafter. I/We further declare and agree in writing that in the event or my/our failure to compensate the Company/its agent might face for having issued the duplicate certificates at my/our request, the Company/its agent can have a lien in general on all the securi- ties, which I/We am/are now holding or I/We may be holding herea- fter and also the dividend/interest declared or payable on the said securities or any other entitlements/payments due to me/us. I/We the said Mr/Mrs/Ms._______________________________________ (Names of all the shareholders/debenture holders/bond holders/unit holders) and Surety. 1.___________________________Surety 2.___________________________Surety (name of sureties) undertake on demand by the Company/its agent to return and redeliver such duplicate certificates and without such demand to produce and return forthwith to the company/its agent the original certificates when found or traced and to take all actions,suits and proceedings at our own costs, as the compa- ny/its agents shall require for the recovery thereof, or other- wise in relation to the said securities. I/We hereby unconditionally and irrevocably submit to the exclu- sive jurisdiction of the competent court/Forum in Hyderabad with regard to any question or matter arising out of these present and/or any other documents that may be executed by me/us in pursuance hereby or arising herefrom. Dated: This day of 20 Witness: (Name and Address) (Signature of the Applicants) 1. Name and Address Witness: (Name and Address) (Signature of the Applicants) 2. Name and Address Witness: (Name and Address) 1.(Signature of the surety) 1. Witness: (Name and Address) 2.(Signature of the surety) 2. 1. Surety should not be a joint holder. 2. To be executed on a non-judicial stamp of Rs.100/- AFFIDAVIT (2) (to be obtained from unregistered transferee that the shares have not been sold by them before the issue of duplicate shares) TO THE BOARD OF DIRECTORS I/We___________________ S/o.__________________________ aged ______ years________ and_______ years residing______________ ____________________________________________________________ _____________________________________ That I/We am/are the sole/joint holders of__________number of equity shares debentures/bonds/units in M/s. as detailed herebelow. Folio No. Name of the No of Share Cert Distinctive Regd.holder shares no from to That the above shares/deb/bonds/units were acquired by me/us for valuable consideration out of my/our own investment/funds against allotment in Public Issue/Allotment in Right Issue or acquired from the market in the years. The above certificates alongwith the transfer deeds duly executed by the registered holders and by me/us which were sent by me/us to the Company/ its agent have been lost or misplaced in transit/has been lost from our end. I/We have not sold the above mentioned securities at anytime to any person nor have pledged these securities or acted upon in any manner so as to create any third party rights/interests. That the stop transfer instructions given by me/us are not on the grounds of the non-payment by me/our broker/sub-broker. That I/We have genuinely lost/misplace the above mentioned secu- rities with/without validity executed Transfer deed(s) That I/We am are solely responsible for any future liabilites in respect of the above mentioned securities. This affidavit is executed in favour of the Company on my/our own volition and is in the form as requried by the company/its agent forwarded to me/us vide its letter no.______dated__________ Verification I/We solemnly affirm that the statement contained in the above paragraphs are true to the best of my/our knowledge, information and belief and that nothing material has been concealed from being disclosed. Solemnly declared and affirmed on_______________________________ Identification at_______________________________________________ On this______________________day of________________________20 Deponents 1. 2 Before the Executive Magistrate or Notary Public (To be executed on a Non-Judicial Stamp Paper of Rs.20/-)