INDEMNITY BOND FOR CASH SECURITY DEPOSIT

I _________ son/daughter/wife of _________ resident of _________, _________ .

I hereby solemnly give an undertaking that I have read and understood the Service rules & terms of _________.

1.    That I am _________.
2.    That I shall be solely responsible for any _________ under my control.
3.    That I shall be solely _________.
4.    That any loss or damage caused to the _________ due to the negligence of _________. I shall be liable to pay damages/losses to _________.
5.    That I have/shall deposit a cash security of _________ /-(_________ only) with the _________.
6.    That I understand that this Cash Security Deposits shall be refunded to me without any interest in case _________.
7.    That I authorize the _________ to recover the damages from my Dues/Cash security Deposit.

On this _________  day of  _________ at _________.

EXECUTANT

Witness (Signature) _________
Name _________
Address _________
_________

Witness (Signature) _________
Name _________
Address _________
_________

ATTESTED

NAME & SIGNATURE
WITH RUBBER STAMP