Bond Format Annexure A 2017
Bond Format Annexure A 2017
AND WHEREAS for better protection of the healthcare of the Government in the
State, the Principal Obligor has agreed to execute this bond with such condition as hereunder
written;
AND WHEREAS the said surety has agreed to execute this bond as surety for the
discharge of the above burden of the amount equivalent to double the amount of stipend for
three years of study by the Principal Obligor……………………............
Further in the event of leaving the course due to any reason before the completion
of PG (MD/MS/MDS) or Superspeciality (DM/MCH) Course, leading to lapse of a seat, the
Principal Obligor……………………….is liable for refund of an amount of `.10.00 lakhs
(Rupees ten lakhs) and all the stipend or salary received till the date of leaving the course, to
the Government of Odisha.
Save and except death, permanent disability or selection for higher study under
no circumstances, the Principal Obligor can forgo the appointment and posting and if it so
happens he shall be liable to refund the money amounting to the amount equivalent to double
the amount of stipend/salary for three years of study.
PROVIDED that the liability of the surety hereunder shall not be impaired or
discharged by reason of time being granted by the Government or by any forbearance, act or
omission on the part of the Government or any person authorized by it (wherever with or
without the consent or knowledge of the surety nor shall it be necessary for the Government
to sue the said Principal Obligor before suing the above bounden
surety…………………………………….. on any of them for the amount due hereunder.
Provided further that, in case of selection for higher study this bond will be seized
to be operative till the study is completed and will be deemed to be in force on the date of
completion of higher study and accordingly, all the above mentioned clauses will be in
operation for all purposes.
In witness to the written bond and to all term and conditions hereinbefore
contained we have signed hereunder this……………… Day of……………………. 20…
Signed and delivered by the Principal Obligor
Surety: 1. Signature
Name & Address
Surety: 2. Signature
Name & Address
Witness: 1. Signature
Name & Address
Witness: 2. Signature
Name & Address
ACCEPTED
for and on behalf of the GOVERNOR OF ODISHA
1. That I was admitted to the post graduation course in the subject .................... in the
............................................................ college in the academic session ....................
/ ......................
2. That I had executed a bond with bond condition to serve the state for two years
after completion of the course failing which I will be liable to pay a monetary
penalty equivalent to double the amount of stipend/ salary received by me during
the period of three years of study.
3. That after the completion of my course on Dt. ................... I am again selected for
higher study in .................................. subject in ............................ Medical
College, in the academic session ................ / .................
4. That the higher study course is a .......... years course and I will complete it in the
year ..................
5. That I undertake that after completion of the higher study course I will serve the
state for two years and in case of default all the conditions of the bond executed
earlier will be applicable to me including the monetary penalty.
6. That this affidavit is made for submission before the concerned authority as and
when required.
7. That, the contents of this affidavit are true to the best of my knowledge and belief.
DEPONENT
(NB: To be typed on appropriate stamp paper)