Friday, December 23, 2011

LIC Form No 3815 policy bond lost

To all to whom these presents shall come Smt ......, ..........., .......... p.o, kollamkavu Inhabitants send Greeting whereas a policy of Insurance Numbered .......... for Rs.25,000/- as granted on 30/03/2007 by the Life Insurance Corporation of India established by the Life Insurance Act 31 of 1956 (hereinafter refered to the Corporation) on the life of Sudheendra Kumar A S, and WHEREAS nnxxxxx , ..................... which was in the possession of xxxxxxxxx S, has been lost or misplaced. And whereas the said Corporation has on the said .................,undertaking to enter into with the said Corporation a covenant of the nature hereinafter appearing agreed to pay the said Sudheendra Kumar A S, the value of the said Policy, viz’ Rs....................../-now know he and these presents witness that in purchase of the said agreement and in consideration of the said corporation having agreed to pay the value of the said Policy to the said Sudheendra Kumar A S, (the receipt whereof is hereby acknowledged) they the said Sudheendra Kumar A S,do hereby for themselves their heirs, executors or administrators Covenant with the said Corporation, its sucessors and assigns, that they the said Sudheendra Kumar A S, their heirs, executors or administrators will from time to time and or at all times save and keepharmless and
relation to the premises. In witness where of the cHANDRIKAMMA AND gIRIJAKUMARI. L have hereunto put their hands at KILIMANOOR this .......th date of .................... 2011.
Signed and delivered by the said cHANDRIKAMMA AND gIRIJAKUMARI. L
in the presence of
Signature


In the presence of:

1. Full Signature of Witness


Name and of witness :

Designation :

Address :




2. Full signature of Witness

Name and witness :

Designation :

Address :

No comments: