Annexure VIII

TO BE FILLED BY INDEPENDENT PERSON ONLY ANNEXURE – 8 LETTER TO BE COMPLETED AND SIGNED BY SURETY FOR ISSUE OF DUPLICATE UNIT CERTIFICATE OF FACE VALUE OF RS. 50, 000/- AND ABOVE / SETTLEMENT OF CLAIM TO UNITS OF DECEASED UNIT HOLDERS

From ___________________________________

To The Vice-President Unit Trust of india

Address _________________________________ ______________________________________________

______________________________________

______________________________________________

______________________________________

______________________________________________

______________________________________

Date _____________________________ Dear Sir, I, the undersigned, Shri / Smt_______________________________inform you that I am prepared to execute an indemnity Bond in favour of the Unit Trust of India to enable it to settle the claim without insisting on legal evidence of title in favour of___________________________/ issue a duplicate unit certificate for unit certificate reported lost in respect of Unit Certificate No. _______________of (Name of Unit holder) ________________________________ Consequently I have filled in the questionnaire given below : Question

Answer

1) Are you related to the unitholder Claimant ? If so, state your relationship with him/her.

(1) ________________________________________________

2) What is your present occupation and permanent address ?

(2) _________________________________________________

3) What is your approximate monthly Income and what are the sources ?

(3)_________________________________________________

4) What property moveable or immoveable do you posses and what is the approximate present value ?

(4) (a) Shares ________________________________________ (b) Bank A/c. _____________________________________ (c) Provident Fund _________________________________ (d) Any other assets ________________________________

5) Is the property free from encumbrance ?

(5) ________________________________________________

I do hereby solemnly assure the Trust that I have thoroughly understood and correctly answered the above questions : Declared at_____________this____________day of ______________20 Witness________________________ name ___________________________

Signature of Witness

_____________________________________ Signature of the Declarant __________________________________________

Name of Declarant

___________________________

__________________________________________

Address of Witness

Name of Declarant's Father __________________________________________

Occupation or Designation of Declarant ___________________________________________

Present Address N. B. : This application should be witnessed by a Magistrate (Stipendiary or Honorary), Notary Public, Gazetted Officer of the Central or State Government an Officer of the Reserve Bank of India Industial Development Bank of India, Secretary / Agent / Manager of a Public Sector Bank, State Co-operative Bank, Member of Parliament, Member of State Legislative Assembly. * (This form can be used both in cases of issue of duplicate unit certificate and also settlement of claim in respect of unit held by deceased unit holders, by striking out the inapplicable words).