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APPLICATION FOR CERTIFICATE OF REGISTRATION

SCHEDULE - FORM A - Regulation - Schedules - Insolvency and Bankruptcy - SCHEDULE - FORM A - SCHEDULE FORM A (Under Regulation 4 of the Insolvency and Bankruptcy Board of India (Insolvency Professional Agencies) Regulations, 2016) To The Chairperson The Insolvency and Bankruptcy Board of India [Insert address] From [Name and address] Subject: Application for grant or renewal of certificate of registration as insolvency professional agency Madam/Sir, 1. I, being duly authorized for the purpose, h .....

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of [insert name], affirm that the applicant is eligible to be registered as an insolvency professional agency. 4. I, on behalf of [insert name], hereby affirm that - (a) all information contained in this application is true and correct in all material respects, (b) no material information relevant for the purpose of this application has been suppressed, and (c) registration granted or renewed in pursuance of this application may be cancelled summarily if any information submitted is found to be .....

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pplicant. 2. Address of registered office and principal place of business of the applicant. 3. Corporate Identification Number (CIN). 4. PAN. 5. Name, designation and contact details of the person authorized to make this application and correspond with the Board in this respect. PART II MEMORANDUM OF ASSOCIATION, ARTICLES OF ASSOCIATION AND BYE-LAWS 6. Please state if the memorandum of association, articles of association and bye-laws provide for all matters as required in, and are consistent wi .....

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ional Agencies) Regulations, 2016 (if any). PART III SHAREHOLDING AND FINANCIAL STRENGTH 8. Please provide details of the persons holding more than 10%, directly or indirectly, of the share capital of the applicant. Sl.No. Name and address of the shareholder PAN / Passport No and country of issue/ company registration number Percentage of shareholding in the applicant company and/ or holding company 9. Do persons resident outside India in aggregate hold more than 49% of the share capital of the .....

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