THIS DEED of indemnity is made at………………… on this………………… day of……………
20………………… between A, son of………………… resident of………………… (hereinafter called “the
applicant”) and B, son of………………… resident of………………… (hereinafter called “the Surety”).
WHEREAS Shri …………………son of………………… resident of…………………had
purchased………………… shares bearing No …………………. of XYZ Co. Ltd., a company incorporated
under the Companies Act, 1956 and having its registered office (hereinafter referred to as the
“said company”);

AND WHEREAS the said Shri…………………died on the…………………of shares day of…………………
One thousand nine hundred and ………………… and died leaving him surviving …………………
as his only legal heirs according to………………… law by which he was governed;
AND WHEREAS the said applicant is entitled to the said shares in consequence of the death of the said
applied to the said company to transfer the said shares into the name of the said applicant and
to pay to him the unpaid dividends due on the said shares without insisting upon production of grant of
legal representation to the estate of the deceased from a competent court which the company has
agreed to do upon the execution by the applicant and by the said sureties unto the said
company of such indemnity as hereinafter contained.
NOW THIS DEED WITNESSES THAT we the said applicant and surety for ourselves, our heirs,
executors, administrators and assigns DO HEREBY jointly and severally covenant with the company, its
successors and assigns that we the said covenanting parties and each of us and each of our heirs,
executors, administrators and assigns will on the Company transferring the said shares into the name of
the said applicant and paying to him the dividends already due and to become due thereon, at all times
save, defend and keep harmless, indemnify and keep indemnified the company, its successors and
assigns of and its and their estates, from and against all claims, demands, actions, proceedings, loss,
damages, costs, charges and expenses which may be made or brought or commenced against them or
which they may or may have to incur or suffer as a result or on account of transfer of said shares in the
name of the applicant or the dividends accrued or to accrue in respect thereof or any part thereby, or
otherwise in connection with the said shares.
IN WITNESS WHEREOF, we the said applicant and surety have hereunto set our hands on the day and
year first hereinabove written.
WITNESSES
1 Signed and delivered by A the within named applicant
2 Signed and delivered by B the within named surety