BY____________________
FAVOUR
OF____________________
I,
_______________ aged __ years, do hereby solemnly declare and say as follows:-
1. That
I am employed with____________________. (Hereinafter referred to as "the
bank").
2. That
the Bank has presently taken residential premises being Situated at
______________ known as _________________(hereinafter referred to as "the
said premises") situate at--________________from _______________ on leave
and license basis for the purpose of providing residential accommodation for me
and my immediate family members.
3. At
my request, the Bank has permitted me to use the premises as per terms and
conditions of the Agreement dated __________________, as perquisite to my
service.
4. I do
hereby declare, agree and undertake that:-
5. I
shall vacate the said premises on the expiry or earlier determination of the
said leave and license agreement dated ___________________ .
I
shall use the premises only for the purpose of residence of myself and I shall
not part with the possession of the premises or any part thereof to any one
else.
I
shall not commit any breach of any of the terms and conditions of the Agreement
under which the Company has taken possession of the premises.
I
confirm that I am aware of the terms and conditions of the Agreement under
which the company has acquired the said premises on leave and licence basis.
I
confirm that on happening of any of the following events, _____________shall be
at liberty to demand and take possession of the said premises and I shall
indemnify and keep ________________ indemnified against any loss or damage
which __________________ may suffer or incur due to my non-compliance, intentioned
or otherwise, with any of the following:-
i.
For not vacating the premises on termination
of my employment with the company for any reasons whatsoever (whether any
retirement, resignation or otherwise).
ii.
For not vacating the premises on my services
being transferred from Mumbai to any place outside Mumbai.
6. On
my committing breach of any of the terms and conditions of the Agreement under
which the company holds the premises.
7. I
further declare that the undertaking and assurance given by me in paragraph 4(d)
above is and shall be binding on my family, my heirs, administrators, executors
and legal representatives and any person staying in the said premises at the
time of my death.
8. In
the event of my committing any breach of any of the terms and conditions under
which I have been allowed to use the premises ______________ shall be entitled
without prejudice to his other rights to take such legal action of proceedings
against me including criminal proceedings as ______________________ may
lawfully be advised.
9. This
undertaking-cum-indemnity shall be binding on me till I am occupying the said
premises.
10. I
confirm that what has been stated hereinabove is true to my own knowledge and
that on the basis of the declaration made by me herein ___________________has permitted
the bank the use of the premises.
Solemnly
declared by the aforesaid
On
this ____ day of ___________, 200
Sworn
Before me,
Dated
this ___ day of _____ 200
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