INDEMNITY TO DRAWER OF LOST CHEQUE





To

___________

In consideration of your having this day given me a second cheque for Rs _______

being the amount of a previous cheque No _______ dated _______ drawn by you

in my favour which I have lost, I hereby undertake to refund to you the said sum of

Rs _______ in the event of the earlier cheque being presented to and paid by your

bankers within _______ months and to indemnify you against all expenses which

may be incurred by you in relation thereto.

Dated _______ Signed______