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    Indemnity Bond Format For Surrender

    Uploaded by

    Laila Ratnala
    This document is an indemnity bond for the loss of an insurance policy other than a duplicate policy. It states that the policyholder has applied to surrender their SBI Life insurance policy number [policy number] after losing the original policy document under [circumstances of loss]. The policyholder agrees to return the original policy if found and indemnifies SBI Life against any claims or legal actions that may arise from the loss of the original policy. The document requires signatures of the policyholder and witnesses for authentication.

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    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    Indemnity Bond Format For Surrender

    Uploaded by

    Laila Ratnala
    5K views1 page
    This document is an indemnity bond for the loss of an insurance policy other than a duplicate policy. It states that the policyholder has applied to surrender their SBI Life insurance policy number [policy number] after losing the original policy document under [circumstances of loss]. The policyholder agrees to return the original policy if found and indemnifies SBI Life against any claims or legal actions that may arise from the loss of the original policy. The document requires signatures of the policyholder and witnesses for authentication.

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    Indemnity Bond Format for Surrender

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    This document is an indemnity bond for the loss of an insurance policy other than a duplicate policy. It states that the policyholder has applied to surrender their SBI Life insurance policy number [policy number] after losing the original policy document under [circumstances of loss]. The policyholder agrees to return the original policy if found and indemnifies SBI Life against any claims or legal actions that may arise from the loss of the original policy. The document requires signatures of the policyholder and witnesses for authentication.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    5K views1 page

    Indemnity Bond Format For Surrender

    Uploaded by

    Laila Ratnala
    This document is an indemnity bond for the loss of an insurance policy other than a duplicate policy. It states that the policyholder has applied to surrender their SBI Life insurance policy number [policy number] after losing the original policy document under [circumstances of loss]. The policyholder agrees to return the original policy if found and indemnifies SBI Life against any claims or legal actions that may arise from the loss of the original policy. The document requires signatures of the policyholder and witnesses for authentication.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Format of Indemnity Bond for loss of policy (Other than Duplicate Policy)

    [To be prepared on appropriate value of stamp paper]

    I/We ________________________________________Son/Daughter of _______________________________, (Full Name of the Policyholder) have applied for surrender of my SBI Life policy no.__________________. I/We, do herby, solemnly affirm that the said Policy/ies for Rs.______________ granted by SBI Life Insurance Company Limited (hereinafter referred to as the Company) on the life of Mr/Mrs___________________________________________ which (Full Name of the Life Assured) was / were lost_________________________________________________________________________ ______________________________________________________________________________________ ____ ________________________________________________________________________(Brief statement of circumstances of loss), and was/were not assigned, mortgaged or dealt with in any other manner except for any assignment, notice of which may have already been given to the Company and undertake to return to the Company the original Policy/ies if the original Policy/ies are recovered subsequently. I/We the undersigned ____________________________________________________________________ (Full Name of the Policyholder) do hereby for themselves/ their heirs, executors or administrators Covenant with the said Company guarantee and agree to hold the said Company, its successors and assigns harmless and indemnified from and against all actions, suits, costs, claims and demands of whatever nature and kind so ever may be instituted , preferred, claimed or made against the said Company, its successors or assigns by any person/s by reason of his/her or their possession of or right to the said original Policy/ies No/s_____________________ and by reason of anything in relation to the premises. . Dated at _______________ the ____________________ day of ________2011. WITNESSES:

    ___________________________ Signature of the Witness ___________________________ ( Name of the Witness) Occupation: Designation: Address :

    ________________________ Signature of the Policyholder ______________________________ (Name & address of the Policyholder)

    SBI Life Insurance Co. Ltd, Corporate Office: "Natraj", M.V Road & Western Express Highway Junction, Andheri (East), Mumbai-400069 Central Processing Center: Kapas Bhavan, Plot No.3A, Sector No.10, CBD Belapur, Navi Mumbai-400614 PS-13/Ver1.3/23.02.2011 Page 1 of 1

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