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TO BE PREPARED ON Rs. 200/- stamp paper INDEMNITY BOND KNOW ALL MEN BY THESE PRESENTS THAT on this day of Year 20 I d/o or s/o having permanent place of residence at and currently residing at (herein after for brevity sake referred to as PG student of the first part and (1) Dr./ Mr. son of having permanent place of residence at and currently residing at (hereinafter called as Sureties ) of the second part and (2) Dr./Mr. son of having permanent place of residence at and currently residing at (hereinafter called collectively as Sureties other part, Hereby jointly and severally bind ourselves and our respective heirs executors and administrators to pay to Tata Memorial Centre (hereinafter referred as the TMC, its successors and assignees, on demand the sum of Rs. 25,00,000/- / Rs. 10,00,000/- (Rupees Twenty Five Lakhs or Rupees Ten

Lakhs) as the case may be and as hereinafter contained together with interest thereon from the date of demand till the date of payment, in the event of breach of the conditions by the said PG student as set out below. 2.0) WHEREAS, the PG student has applied to the Centre against open advertisement for admission to the PG degree in MD course conducted by the Tata Memorial Centre for imparting training in MD degree (hereinafter referred to as PG course). 3.0) WHEREAS, in accordance with the directions of Government of Maharashtra in their resolution GR. NO. MED-1010/ CR/184/10/EDU-2 dated 28.05.2010 and as notified and applicable to the Tata Memorial Centre, the said PG student has agreed to execute this bond with two sureties aforesaid and with such conditions as herein under written. Now the conditions to be observed and complied with by the said PG student and their sureties are as under : a) The PG student has voluntarily accepted admission to the PG course for the period from (3 years). The PG student has clearly understood that he will be required to sign a bond for completion of the residency tenure for the period of 3 years and binds himself that he will complete the course, failing which he would be bound to pay Rs. 10,00,000/- (Rupees Ten Lakhs) to the Tata Memorial Centre forthwith on demand by the Tata Memorial Centre together with the interest there on from the date of default, at the rate prescribed of Government loans and prevailing

on the date of demand or if payment is made in the country other than India, the equivalent amount of the currency of that country converted at the official rate of exchange between that country and India. This condition shall however, not be applicable to the candidate who is resigning before the final round of selection conducted by DMER the Tata Memorial Centre on prescribed dates decided by these Authorities. b) The PG student clearly understands that in the event the said PG student continues the course for the entire duration of 3 years and on his successful completion he is required to serve for a minimum period of one year the Tata Memorial Centre, including any of the outreach units supported by TMC, located in the non urban areas and he will be paid consolidated stipend as may be prescribed at that point of time and in any case it will not be less than the consolidated stipend paid to him / her on the date of qualifying in the said degree. The PG student further binds himself alongwith the sureties that in the event he / she fails to serve as stated herein before at the Tata Memorial Centre / or the outreach station, units as aforesaid for the said minimum period of one year, he will be liable to pay the sum of Rs. 25,00,000/- (Rupees Twenty Five Lakhs) as a breach of condition. 4.0) The sureties viz (i) (ii) do hereby jointly and severally covenant with the Centre that if the said PG student make default in payment of the sum of Rs. 25,00,000/- (Rupees Twenty Five Lakhs only) as mentioned above or any part thereof, together with interest theron from the

date of demand at Government rates for the time being in force on Government loans, the sureties shall on demand and without murmur pay to the Centre the said sum of Rs. 25,00,000/- (Rupees Twenty Five Lakhs only) together with interest thereon from the date of default at the rate levied for Government loan and prevailing on the date of demand and that the liability of sureties hereunder shall not in any way be affected by any time waiver or indulgence of any nature of any kind whatsoever given made or shown by the Centre to or in favour of the said PG students. The sureties hereby agree that to all intents and purposes the liability of the sureties for the payment of all the sum of money under this agreement shall be deemed to be that of the principal parties each of both the sureties, jointly and severally. 5.0) Notwithstanding anything herein contained, it shall be lawful for the Centre to terminate the tenure of the Residency of the course, if his / her progress has been found to be Unsatisfactory by the centre or any violations of the rules / regulations, as applicable or for the other reason of which the centre shall be sole judge, and in that event the said amount of Rs. 10,00,000/- (Rupees Ten Lakhs Only) as contained in Para 4 above shall become payable by said P.G. Students / sureties immediately and the said PG student shall be bound to pay the same and if he / she falls to do so, the sureties shall be jointly and severally responsible to pay the same to the centre on demand. 6. It is expressly understood by the said PG Students and the sureties herein that that the TMC shall be entitled to recover the said sum of Rs. 25,00,000/ - / Rs. 10,00,000/- as the case may bein the event of default of their payment on demand

and that TMC shall be entitled to initiate civil / criminal proceedings as may be required at the cost, risk and consequences of the said PG student and the sureties thereon. This agreement shall in all respects be governed by the laws of India for the time being in force and the courts in Mumbai shall have exclusive jurisdiction to try the dispute and adjudicate between the parties. IN WITNESS WHEREOF and the sureties have hereunto set their respective hands on the day and year first hereinabove written. SIGNED SEALED AND DELIVERED By the said : Dr. (Name, Signature of the Employee & Date) In the presence of : SIGNED SEALED AND DELIVERED By the said : (Name, Signature of the Surety No.1 & Date)

In the presence of : SIGNED SEALED AND DELIVERED By the said : (Name, Signature of the Surety No.2 & Date) In the presence of : ACCEPTED: