KNOW ALL MEN BY THESE PRESENTS that we Smt. A widow of Shri D resident of ……….and B son of resident of and C son of ……….resident of……….hereby bind ourselves jointly and severally to the President of India for the payment to the said President of India for the sum of Rs . ………
Signed by us this …………. day of ……… 20……

WITNESSES …………….
Signatures

WHEREAS Shri D was employed as Office Superintendent in the Central Government Health Scheme………… . Government of India

AND WHEREAS the said D expired on the ………… at …………and a sum of Rs …………. was due to him on account of pay, allowance, medical claims, T.A. bills and Provident Fund in respect of his said employment. AND WHEREAS the above bounden Smt. A (hereinafter called the claimant) has made an application that she is entitled to the said sum as the only legal heir of the said D, but has not obtained succession certificate to the estate of the said D.

AND WHEREAS the President of India has agreed to pay said sum to the claimant, if the claimant execute a bond with two sureties indemnifying the said President of India against all claims to the amount so due as aforesaid to the said D.

NOW THE CONDITION OF THE ABOVE WRITTEN BOND is that if after payment has been made to the said Smt. A, the President of India is required to make payment to any other rightful claimant, and the said President of India requires the claimant, she shall refund the said sum of Rs…………… to the President of India and shall in the event of any claim relating to the amount so due to the said D, the claimant shall indemnify and save the said President of India harmless from all liabilities in respect of the said sum and all costs incurred in consequence of any claim thereto, then the above written bond shall be void and of no effect, otherwise the bond shall remain in full force and effect.

IN WITNESS of the above written bond and the conditions thereof we A, B and C have signed hereunder this ……………. day of……….. 20 ,……….. in the presence of:

WITNESSES
1. …………….. A
2. …………………
B
……………
C