The President of India,
Through the Secretary,
Ministry of …………………..
Department of……………
Government of India,
New Delhi
Dear Sir,
In In consideration of your having agreed to disburse the provident fund and gratuity
amounting to Rs………………due and payable to my husband Shri………………… (who was
working as in Department, Ministry ofof…………………New Delhi, and who has expired
on………………… ), without insisting upon the production of succession certificate from a competent
court, I Smt…………………hereby undertake to hold you the President of India, its its servants and
agents harmless and indemnified against all claims, costs, charges or expenses that you may suffer or
incur in connection with disbursing the said Provident Fund and Gratuity amount to me as requested.

Yours faithfully,

……………………….