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[Section 5]
[Entire Act]
Union of India - Subsection
Section 5(3) in The Railways (Manner Of Delivery Of Consignments And Sale Proceeds In The Absence Of Railway Receipt) Rules, 1990
| Signature of Witness .................... | Signature of Consignee ...................... |
| Father's Name ..................... | **Father's Name ........................ |
| Age ................... | Age .................... |
| Profession....................... | Profession................... |
| Residence........................... | Residence .............. Designation and Seal of the Co. /Firm .......................... Registered Office/Place of business |
| Signature of Witness ..................... | Signature of Surety .............................. |
| Father's Name ........................ | **Fathers Name.............................. |
| Age ................. | Age.................... |
| Profession..................... | Profession.................... |
| Residence................... | Residence......................... |
| *To be struck out when Indemnity Note is executed by or on behal f of Company/Firm.Note.-This note is an agreement ranging under clause (c) of Article 5, Schedule I of Indian Stamp Act 11 of 1899 and therefore, chargeable with stamp duty, irrespective of the value of the goods.Designation and seal of Co./FirmRegistered Office/Place of businessExecuted in my presence._____________Station stampDate............20Station Master. |
| Signature of Witness .................... | Signature of Consignee ...................... |
| Father's Name ..................... | **Father's Name ........................ |
| Age ................... | Age .................... |
| Profession....................... | Profession................... |
| Residence........................... | Residence......................... Designation and Seal of the Co. /Firm .......................... Registered Office/Place of business |
| Signature of Witness ..................... | Signature of Surety .............................. |
| Father's Name ........................ | **Fathers Name.............................. |
| Age ................. | Age.................... |
| Profession..................... | Profession.................... |
| Residence................... | Residence......................... |
| **To be struck out when Indemnity Note is executed by or on behal f of Company/Firm.Note.-This note is an agreement ranging under clause (c) of Article 5, Schedule I of Indian Stamp Act 11 of 1899 and therefore, chargeable with stamp duty, irrespective of the value of the goods.Designation and seal of Co./FirmRegistered Office/Place of businessExecuted in my presence._____________Station stampStation Master.Date............20 |
| Signature of Witness.......................... | Signature of Consignor................. |
| Father's Name.................................... | Father's Name.............................. |
| Age......................... | Age......................... |
| Profession......................... | Profession..................................... |
| Residence.......................... | Residence..................................... |
| ...................................................... | |
| Designation and seal ofCo./Firm...................................................... | |
| Registered Office/Place of business | |
| Signature of Witness....................... | Signature of Surety....................... |
| Father’s Name................................ | **Father's Name........................... |
| Age................................................. | Age............................................... |
| Profession...................................... | Profession..................................... |
| Residence...................................... | Residence...................................... |
| ...................................................... | |
| Designation and seal of Co./Firm | |
| ...................................................... | |
| Registered Office/Place of Business. | |
| ____________________ | |
| Executed in my presence | |
| Station stamp | |
| ____________________ | |
| Station Master | |
| ....................................................... | |
| Station Master | |
| Date................19 | |
| Signature of the person.................... | |
| authorised by the sender................... | |
| to take delivery |
| **To be struck out when Indemnity Note is executed by or on behal f of Company/Firm.Note.-This note is an agreement ranging under clause (c) of Article 5, Schedule I of Indian Stamp Act 11 of 1899 and therefore, chargeable with stamp duty, irrespective of the value of the goods. |
| Signed by the Principal Obligor | _____________________ |
| (within mentioned) | Signature of the Principal Obligor. |
| In the presence of | |
| 1. .................... | |
| 2. .................... | (Signature of the Sureties) |
| Signed by the Surety | Accepted on.................. |
| (within mentioned)in the presence of | Designation of Officer for and onbehalf of the Presidentof Indiain the presence of. |
| 1. ..................... | |
| 2. ..................... |