Form F-A- 19-02 - Indemnity Bond (Death Case)

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Form No. F-A- 19-02
On Rs. 100/- Stamp Paper
(and should be attested by Ist class Magistrate)
INDEMNITY BOND
(Death Case)
This
indemnity bond
executed
at
Delhi
on
________day of _________/200
by
Shri/Smt._______________W/o, D/o, S/o Late Shri___________________R/o___________________on favour
of President of India /Commissioner of Police/Dy. Commissioner of Police, Licensing Delhi where as Late
Shri___________________S/oSh._________________R/o_________________________expired
on
_________________________leaving behind him the following legal heirs:-
SL.NO.
Name
Age
Relationship
1.
2.
3.
4.
5.
That Late Shri_____________was holder of arms license No._________________for____________,
That now I want to transfer/sell the said weapon in the name of Shri______________S/o
Shri_____________________
r/o______________________________________holder of arms licence
No.____________________for_______________Valid upto___________PP upto____________________. The
other legal heirs have no objection if the said weapon is transferred/shell in
the name of
Shri_________________________against his valid A/Licence No._________________________________.
That, I _________________S/o,D/o,W/o Late Shri________________________do hereby hind my self
and execute this bond in favour of Commissioner o Police/Dy. Commissioner of Police, Licensing, Delhi that in
case there any other claimant to the said weapon.
I undertake to Indemnity in favour of President of
India/Commissioner of Police/Dy. Commissioner of Police, Licensing, Delhi for any loss that may occur on
account of the transferred to the said weapon in the name of Shri.___________________________.
In witness thereof, I have signed this Indemnity bond on_________ day of _______________/200 . In
the presence of the following two witnesses:-
WITNESSES:-
(with signature, full Name & Complete Address)
1.
_____________________________
Executant
2.
_____________________________
Executant
The following documents to be attached:-
1. Rs/100/- stamp paper indemnity bond.
2. NOC of all legal heirs Rs.10/-
3. Weapon deposit receipt.
4. Death Certificates
5. Photo of Licensee
6. Original license of father/husband

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