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PROOF OF CLAIM BY CREDITORS (OTHER THAN FINANCIAL CREDITORS AND OPERATIONAL CREDITORS)

SCHEDULE - FORM F - Regulation - Schedules - Insolvency and Bankruptcy Board of India (Insolvency Resolution Process For Corporate Persons) Regulations, 2016 - SCHEDULE - FORM F - 1[FORM F [Under Regulation 9A of the Insolvency and Bankruptcy Board of India (Insolvency Resolution Process for Corporate Persons) Regulations, 2016] Date ……….. To The Interim Resolution Professional / Resolution Professional [Name of the Insolvency Resolution Professional / Resolution Professiona .....

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proof of incorporation. If a partnership or individual, provide identification record* of all partners or the individuals) 3. Address and email address of the creditor for correspondence 4. Description of the claim (Including the amount of the claim as at the insolvency commencement date) 5. Details of documents by reference to which claim can be Substantiated 6. Details of how and when the claim arose 7. Details of any mutual credit, mutual debts, or other mutual dealings between the corporate .....

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he creditor or any person authorised to act on his behalf (Please enclose the authority if this is being submitted signed on behalf of the creditor) Name in BLOCK LETTERS Position with or in relation to the creditor Address of the person signing * PAN, Passport, AADHAAR or the identity card issued by the Election Commission of India. 2[DECLARATION I, [Name of claimant], currently residing at [insert address], do hereby declare and state as follows: - 1. [Name of corporate debtor], the corporate .....

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f and no material facts have been concealed therefrom. 4. In respect of the said sum or any part thereof, neither I, nor 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 details of any mutual credit, mutual debts, or other mutual dealings between the corporate debtor and the creditor which may be set-off against the claim]. Date: Place: (Signature of the claimant) VERIFI .....

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