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PROOF OF CLAIM BY A WORKMAN OR AN EMPLOYEE

SCH FORM D - Regulation - Schedules - Insolvency and Bankruptcy - SCH FORM D - (SCHEDULE) FORM D (Under Regulation 9 of the Insolvency and Bankruptcy (Fast Track Insolvency Resolution Process for Corporate Persons) Regulations, 2017) [Date] To The In .....

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oof of claim. Madam/Sir, [Name of the workman / employee], hereby submits this proof of claim in respect of the fast track process in the case of [name of corporate debtor]. The details for the same are set out below: PARTICULARS 1. NAME OF WORKMAN/E .....

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EREST AS AT THE FAST TRACK COMMENCEMENT DATE) 5. DETAILS OF DOCUMENTS BY REFERENCE TO WHICH THE CLAIM CAN BE SUBSTANTIATED. 6. DETAILS OF ANY DISPUTE AS WELL AS THE RECORD OF PENDENCY OR ORDER OF SUIT OR ARBITRATION PROCEEDINGS 7. DETAILS OF HOW AND .....

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THEREOF CAN BE TRANSFERRED PURSUANT TO A RESOLUTION PLAN 10. LIST OF DOCUMENTS ATTACHED TO THIS PROOF OF CLAIM IN ORDER TO PROVE THE EXISTENCE AND NON-PAYMENT OF CLAIM DUE TO THE WORKMAN / EMPLOYEE Signature of workman/employee or person authorised t .....

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at [insert address], do solemnly affirm and state as follows: 1. [Name of corporate debtor], the corporate debtor was, at the fast track commencement date, being the . . . . . . . . . . . . day of . . . . . . . . . . . . 20 . . . . . . . . . . . ., .....

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he said documents are true, valid and genuine to the best of my knowledge, information and belief. 4. In respect of the said sum or any part thereof, I have not nor has any person, by my order, to my knowledge or belief, for my use, had or received a .....

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