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PROOF OF CLAIM BY A WORKMAN OR EMPLOYEE

SCHEDULE II - FORM E - Regulation - Schedules - Insolvency and Bankruptcy - SCHEDULE II - FORM E - SCHEDULE II - FORM E FORM E (Under Regulation 19 of the Insolvency and Bankruptcy (Liquidation Process) Regulations, 2016) [Date] To The Liquidator [Na .....

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, 2016. Madam/Sir, [Name of the workman / employee], hereby submits this proof of claim in respect of the liquidation of [name of corporate debtor]. The details for the same are set out below: 1. NAME OF WORKMAN/EMPLOYEE 2. PAN, PASSPORT, THE IDENTIT .....

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DATE) 5. DETAILS OF DOCUMENTS BY REFERENCE TO WHICH THE DEBT 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 WHEN CLAIM AROSE 8. DETAILS OF ANY MUTUA .....

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CAN BE TRANSFERRED 10. LIST OUT AND ATTACH THE DOCUMENTS RELIED ON IN SUPPORT OF THE CLAIM. (i) (ii) (iii) Signature of workman / employee or person authorised to act on his behalf [Please enclose the authority if this is being submitted on behalf of .....

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debtor], the corporate debtor was, at the liquidation commencement date, that is, the . . . . . . . . . . . . day of . . . . . . . . . . . 20. . . , justly and truly indebted to me in the sum of Rs. [insert amount of claim]. 6. In respect of my clai .....

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. 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 any manner of satisfaction or security whatsoever, save and except the following: [Please state detai .....

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