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Page 1: 9 47jq/k9-aitrDlcbtul &I- R kg' TTPTNEFsadup.gov.in/pdf/Pension-Form.pdfeta/ strEit eft*, it41 anzar - 4 vcirut cbc;- 4 amtref t t Kr4 Atrar C. 414 rrf ei7Lt cr4 dern f*Pf: - 7 'MIT

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0.0,44..p.Rwrogo

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Page 15: 9 47jq/k9-aitrDlcbtul &I- R kg' TTPTNEFsadup.gov.in/pdf/Pension-Form.pdfeta/ strEit eft*, it41 anzar - 4 vcirut cbc;- 4 amtref t t Kr4 Atrar C. 414 rrf ei7Lt cr4 dern f*Pf: - 7 'MIT

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Page 16: 9 47jq/k9-aitrDlcbtul &I- R kg' TTPTNEFsadup.gov.in/pdf/Pension-Form.pdfeta/ strEit eft*, it41 anzar - 4 vcirut cbc;- 4 amtref t t Kr4 Atrar C. 414 rrf ei7Lt cr4 dern f*Pf: - 7 'MIT

19

THIS DEED OF INDENINITtis made on the day of 19

corresponding to SaIca Samvat the day of 19

by Sri slo

resident of (Bounden) IN FAVOUR OF THE

GOVERNOR OF UTTAR PRADESH (called "the Governor")

Whereas:

The Bounden above named was/is in the service of the Government of Uttar Pradesh (called "the

Government") as (designation) in

name of office)

The Bounden above named has retired/is due for retirement on.

A "No demand certificate" is required tote issued in. favour of the Bounden by

before sanction of pension, gratuity, etc. to the Bounden but the said certificate

could not be isued so far and the scrutiny of records for that purpose is likely to take flirther time.

4.• The Government is willing to sanction pension and gratuity etc.. to the Bounden on condition

that the Bounden shall excute a bond, being these presents, to indemnify and saVe harmless the Government

from any-loss which the Goverment may incur by reason of any moneys found due against the Bounden

within a period of two years from the date of retirement Of the Bounden, Now this deed witness-

(1) In consideration of Government agreeing to sanction pension and gratuity, etc. to the bounden

before issue of "No demand certificate" in his favour, the Bounden hereby covenants with the Gthernor that

the Bounden shall pay on demand to the Government all moneys which may be discovered, within a period

of two years from the date of retirement of the Bounden, to be due against him.

(2)- Atinunount due under this deed may, on the certificate of which shall be

final, conclusive and binding on the Bounden, be recovered from him as arrears of land revenue.

In witness to the above written bond and the conditions thereof the Bounden has signed hereunder on the day

and year first above written.

suunp duty on this instrument will he borne by the Governinent.

Witnesses: -

Signed by :

Address

(21

Bounckm

1

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20

el 1 it —2

THIS DEED OF INDEMNITY is made on the day of '

19 corresponding to Salta Sam vat the day of

19 by (1) Srimati/Sri w/o/s/o late

Sri fio (Bounden(I)* and (2)11

Sri sto i/o (Bounden), (jointly)

called the 'lloundease IN FAVOUR OF THE GOVERNOR OF UTTAR PRADESH (called "the Governor").

Whereas;

Late Sri— was in the service of the Government of Uttar Pradesh

(called the "Government") as (designation) in

name of office).

Late Sri " (called "deceased") died on and firnily

pension and death—cum—retirement gratuity' is to be sanctioned to his family.

Bounden I is-the (relationship with deceased).

If necessary (and Bounden 0) is the (relationship with deceased) and

is/are entitled to the family pension and gratuity.

A 'No demand certificate is required to be issued in regard to the deceased by

before sanction of family pension, gratuity, etc. to the Bounded, but the

said certificate could not be issued so far and scrutiny of records for that purpose is likely to take further time.

The Government is willing to sanction family pension and gratuity etc.. to the Bounden on condition that the Bounden shall execute a Wad, being these presents, to indemnify and save harmless the Government from any loss which the Government may incur by reason of any moneys found due against the deceased within a period of two years from the date of his death.

Now this deed witnesses that—

In consideration of Government agreeing to sanction family pension and gratuity. etc. to the bounden before issue of "No demand certificate" the Bounden hereby covenants if necessary (jointly and severally covenant), with . the Governor that the Bounden shall pay on demand to the Government all moneys which may be discovered to be due against the deceased within a period of two years from the date of his death, subject to a maximum of the amount of gratuity and family pension paid to the Bounden.

Any amount due under this deed may, on the certificate o which shall be final, conclusive and binding 011 the Bounden. be recovered from her/him/theta as arrears of land revenues.

In witness to the above written bond and the conditions thereof the Bounden has/have signed hereunder on the day and year first above written. ,

The stamp duty on this instrument will be borne by the Government.

Witnesses: Signed by:

Bounden I

Address

Bounden It

Address

If necessary.

Page 18: 9 47jq/k9-aitrDlcbtul &I- R kg' TTPTNEFsadup.gov.in/pdf/Pension-Form.pdfeta/ strEit eft*, it41 anzar - 4 vcirut cbc;- 4 amtref t t Kr4 Atrar C. 414 rrf ei7Lt cr4 dern f*Pf: - 7 'MIT

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3INTI itzt114-114 (Last Dues Certificate)

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