PLEASE READ INSTRUCTIONS BEFORE COMPLETING THIS …

1 indemnity CUM AFFIDAVIT ON STAMP PAPER OF RS 300/- TO BE NOTARISED This indemnity cum Affidavit is executed at _____ this ____ day of _____, by : (1) Mr _____ Age: ____ years, Occupation: ____, residing at _____ (hereinafter referred to as Indemnifier 1 ) (2) Mr _____ Age: ____ years, Occupation: ____, residing at _____ (hereinafter referred to as Indemnifier 2 ) (3) Mr _____ Age: ____ years, Occupation: ____, residing at _____ (hereinafter referred to as Indemnifier 3 ) (4) Mr _____ Age: ____ years, Occupation: ____, residing at _____ (hereinafter referred to as Indemnifier 4 ) (5) Mr _____ Age: ____ years, Occupation: ____, residing at _____ (hereinafter referred to as Indemnifier 5 ) (hereinafter, collectively referred to as Indemnifiers ).

2 3 IN FAVOUR OF CROMPTON GREAVES LIMITED, a Company having its Registered Office at 6th Floor CG House Dr Annie Besant Road, Worli, Mumbai 400 030, hereinafter called the indemnity Holder . The expressions, Indemnifier , Indemnifiers and indemnity Holder(s) shall, unless it be repugnant to the context or meaning thereof, be deemed to mean and include their respective successors and assigns. The abovementioned Indemnifiers do solemnly affirm and declare as follows: (1) The following shares of Crompton Greaves Limited are registered in the name of Late _____: Folio No No of Shares(Face Value per share Rs___) Certificate No(s) Distinctive No(s) From To 3 Indemnifiers will be all heirs and two sureties PLEASE READ INSTRUCTIONS BEFORE COMPLETING THIS FORM (2) Mr/Ms.

3 _____ died without leaving a will (intestate) and though due and diligent search has been made for his / her will, no such will has been found so far OR4 (2) Mr/Ms. _____ died leaving his last will and testament dated _____ in respect of which no probate/letter of administration/succession certificate had been obtained. (3) Under the personal law, applicable to the deceased, the following become his sole legal heirs and are entitled to inherit jointly the aforesaid shares.

4 A. Mrs .. Wife b. Mr .. Son c. Ms .. Daughter (4) The above mentioned shares were the separate and self acquired property of the deceased. (5) Indemnifier 1, Indemnifier 2*, Indemnifier 3* are the legal heirs and do hereby give consent for the transfer of these shares into the name of .. (hereinafter referred to as Beneficiaries ) and to pay to them the arrears of dividend , if any and also issue in bonus shares, on the said shares, without insisting on production of legal representation to the estate of the deceased shareholder.

5 (6) The following information may be relied upon for processing the transmission formalities: 1. Full Name and address of the deceased member: 2. Nature of shareholding single / joint: 3. Date of death of the deceased as per English Calendar: 4. Present market value of shares held in the Company: 5. Name of the person in whose custody the share certificates are presently available and reasons therefor: 6. No of shares held by the deceased in other companies: Name of Co No of shares.

6 7. Particulars of the property (movable & immovable) of the deceased other than shares: 8. Particulars of the debts of the deceased. PLEASE state the amount and nature of debts: 9. Full details of surviving legal heirs: Name Address Relationship Age Marital Status Guardian details5 with the Deceased (i) (ii) (iii) (iv) 10. Law by which the deceased was governed (If Hindu or Mohammaden state the school of Law): 11.

7 Heirs of the deceased in according with the aforesaid law: 4 Strike out whichever is not applicable 5 Indicate in case of minor children of the deceased. PLEASE mention name, address, whether natural guardian or appointed under Guardian And Wards Act. 12. In case deceased was member of Hindu Undivided Family(HUF), full details of surviving legal members: Name Address Relationship with the Deceased Age Marital Status (i) (ii) (iii) 13.

8 Specify whether deceased was "Karta" of the HUF: 14. Specify whether the shares in the Company were part of his personal estate or part of HUF property: 15. Particulars of the Beneficiaries: Name Father s / Address Occupation Relationship Age Marital Husband s with the Deceased Status Name (i) (ii) (iii) 16. Residential Status of the Beneficiaries : Resident / Non Resident 17. Names of Indemnifiers who are acting as sureties: 18. Any other information to support the.

9 Beneficiaries claim to the shares of the .. deceased member .. (7) In consideration of the Company transferring the abovementioned shares as requested at Clause (5) all the Indemnifiers hereby undertake jointly and severally that: (i) they themselves and their heirs, executors and administrators respectively, will at all times and from time to time save, defend, keep harmless and indemnify the Company, its successors, assignees and the Directors thereof and their respective heirs, executors, administrators, estates and effects from and against all actions, causes, suits, proceedings, accounts, claims, demands, and all losses, damages, costs, charges, liabilities.

10 Expenses and sums of money incurred in respect thereof, whatsoever on account of the Company, at their request, transferring the abovementioned and also Bonus shares to the Beneficiaries and paying arrears of dividend on the said shares, without insisting on the production of legal representation to the estate of the deceased shareholder. (ii) the determination by the indemnity Holders of the extent of any and all such losses, damages, claims, penalties, proceedings, costs and all other liabilities, shall be binding on all the Indemnifiers, without questioning the reasonableness, validity or otherwise of any payments made by the indemnity Holders, in response to a claim that has been made by the indemnity Holders.