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PROOF OF CLAIM SUBMITTED BY AUTHORISED REPRESENTATIVE OF WORKMEN AND EMPLOYEES

SCH FORM E - Regulation - Schedules - Insolvency and Bankruptcy Board of India (Fast Track Insolvency Resolution Process for Corporate Persons) Regulations, 2017 - SCH FORM E - (SCHEDULE) FORM E (Under Regulation 9 of the Insolvency and Bankruptcy (F .....

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in public announcement] From [Name and address of the duly authorised representative of the workmen / employees] Subject: Submission of proofs of claim. Madam/Sir, I, [name of authorised representative of the workmen / employees], currently residing .....

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at the fast track commencement date, being the . . . . . . . . . . . . day of . . . . . . . . . . . . 20 . . . . . . . . . . . ., justly truly indebted to the several persons whose names, addresses, and descriptions appear in the Annexure A below in .....

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ly to the corporate debtor during such periods as are set out against their respective names in the said Annexure A. 2. That for which said sums or any part thereof, they have not, nor has any of them, had or received any manner of satisfaction or se .....

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f Employees/ Workmen S.NO. NAME OF EMPLOYEE/WORKMAN IDENTIFICATION NUMBER (PAN NUMBER, PASSPORT OR AADHAAR CARD) TOTAL AMOUNT DUE (RS.) PERIOD OVER WHICH AMOUNT DUE 1. 2. 3. 4. 2. Particulars of how debt was incurred by the corporate debtor, includin .....

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against the claim. ATTACHMENTS: (a) Documents relied as evidence as proof of debt and as proofs of non-payment of debt. (b) Affidavit in the form set out in this Form E. AFFIDAVIT [PLEASE SUBMIT IF APPLICATION SUBMITTED BY AUTHORISED REPRESENTATIVE .....

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. . . . . . . day of 20 . . . . . . . . . . . .., justly and truly indebted to me in the sum of Rs. [insert amount of claim]. 2. In respect of my claim of the said sum or any part thereof, I have relied on the documents specified below: [Please list .....

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knowledge or belief, for my use, had or received any manner of satisfaction or security whatsoever, save and except the following: [Please state details of any mutual credit, mutual debts, or other mutual dealings between the corporate debtor and the .....

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