INDEMNITY BOND FOR REQUEST TO BANK IN RESPECT OF BANK PAYMENT

I, Sri/Smt ___________________, Son/Daughter/Wife of ___________________, residing at ____________________________(Address with pin code, P.O, P.S and District), do hereby giving undertaking that :-

I am legal and natural guardian of my minor son/daughter _____________________.

That I had a Savings account in the name of my son/daughter ___________________ being No. ___________________ which is closed now with _________________(Name of Bank), main branch __________________________(Address with pin code).

That my staff ______________________ deposited a sum of Rs. ________________ (Rupees in word) only in account No. ________________________ by mistake in stead of account No. __________________ of my son/daughter ___________________.

That the abovementioned account number is wrongly written in place of A/c. No. ____________________ which belongs to _______________________.

That I do hereby request your Bank to kindly transfer Rs. _________________ ( Rupees in word) only in Savings account No. ____________________ of ____________________ (Name of bank) _____________ Branch, IFSC Code No. ________________ which belongs to __________________________ (Name of A/C Holder).

That I have lost the deposit slip.

That I do hereby taking responsibility and giving Undertaking to pay the _____________________ (Name of Bank), _____________ Branch, _________ in case any person claims the said amount Rs. ____________ (Rupees in word) only to be deposit/ transfer by you in Savings Account No. correct Bank A/c No. __________________ of ____________________(Name of Bank).

The statements made above are true to my Knowledge and belief and I sign this Affidavit on this the ________ day of ________ month, _________ year at _______________ (Name of Place).

WITNESSES:

___________________

D E P O N E N T

Identified by me

Advocate/ ___________ Name of Place)

From:

___________________________ (Name of Depositor),

___________________(Name of place),

_______________ (Name of place)

To,

The Manager,

_________________________(Name of Bank),

_____________________ Branch,

_________________ (Name of place)

Dear Sir,

I beg to state that on ______________ (dd/mm/yyyy) by mistake I had deposited a sum of Rs. ___________ in Savings Bank Account No. _______________ in place of correct savings account No. ________________ of ____________________ (Name of A/C holder). That my employer ____________________ (Name of Employer) had given to me Rs. _________ to be deposited in the Savings Account of his son/daughter _____________________, but the account was not credited as I mentioned wrong account number by mistake. I have no claim/ objection if you transfer a sum of Rs. ________________ to the savings account No. _________________________ of _____________________ (Name of A/C holder) with __________________ (Name of Bank), _________________ (Name of Branch). Unfortunately I have lost the deposit slip of Rs. _____________.

Thanking You,

Your’s faithfully

(______________________)