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ANNEXURE C - INDEMNITY BOND - Simplified Exit Scheme, 2005Extract ANNEXURE-C INDEMNITY BOND (to be given individually by Applicant) I, the director of ___________________________________ Private/Limited, (hereinafter called the Company ), incorporated on ___/___/_____ under the Companies Act, 1956, having its Registered Office at _______________________ and having PAN Number___________________________do hereby declare that: (a) (i) I ____________, S/o D/o Shri________, am holder of passport/PAN ______ etc. (copy of Passport/PAN duly attested by Gazetted Officer is enclosed) (ii) I am Director of this company since_______________ (iii) My present residential address is __________________(copy of documentary evidence duly attested by Gazetted Officer is enclosed. Alternatively an affidavit sworn before Magistrate may be enclosed.) (iv) My permanent address is ________________________(copy of documentary evidence duly attested by Gazetted Officer is enclosed. Alternatively an affidavit sworn before Magistrate may be enclosed.) (b) That I have made an affidavit dated the ______, duly sworn before Magistrate/Executive Magistrate/Oath Commissioner/Notary affirming that the Company ___________________Private/ Limited, has no assets and no liabilities. (c) Further, the Company has been inoperative from the date of its incorporation. / The company commenced business/operations/commercial activity after incorporation but has been inoperative for the past _________________ year(s)*. And the company is not intending to do any business or commercial activity. Thus the Company is defunct and I request the Registrar of Companies, _______________ to strike off the name of the Company from the Register of Companies under Section 560 of the Companies Act, 1956. * Strike out whichever is not applicable. 2. I do hereby undertake and indemnify in writing: ( a ) to pay and settle all lawful claims arising in future after the striking off the name of the Company. ( b ) to indemnify any person for any losses that may arise pursuant to striking off the name of the Company. ( c ) to settle all lawful claims and liabilities which have not come to our notice upto this stage, even after the name of the Company has been struck off in terms of section 560 of the Companies Act, 1956. Place: Signature: 1._______________ Date: Name: WITNESSES: 1. Signature Name: Father s name: Address: Occupation: 2. Signature Name: Father s name: Address: Occupation: ACCEPTED Registrar of Companies
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