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PROOF OF CLAIM BY A WORKMAN OR AN EMPLOYEE

SCHEDULE - FORM D - Regulation - Schedules - Insolvency and Bankruptcy - SCHEDULE - FORM D - SCHEDULE FORM D [Under Regulation 9 of the Insolvency and Bankruptcy (Insolvency Resolution Process for Corporate Persons) Regulations, 2016] [Date] To The I .....

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roof of claim. Madam/Sir, [Name of the workman / employee], hereby submits this proof of claim in respect of the corporate insolvency resolution process in the case of [name of corporate debtor]. The details for the same are set out below: PARTICULAR .....

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F CLAIM (INCLUDING ANY INTEREST AS AT THE INSOLVENCY 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 PROCEEDI .....

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OF THE CLAIM OR ANY PART 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 OPERATIONAL CREDITOR Signature of workman emp .....

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of deponent], currently residing at [insert address], do solemnly affirm and state as follows: 1. [Name of corporate debtor], the corporate debtor was, at the insolvency commencement date, being the . . . . . . day of . . . . . 20 . . . , justly and .....

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cuments 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 any manner .....

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