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

SCHEDULE - FORM F - Regulation - Schedules - Insolvency and Bankruptcy - 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 & .....

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Subject: Submission of proof of claim. Madam / Sir, I, [Name of the creditor], hereby submit the following proof of claim in respect of the corporate insolvency resolution process in the case of [name of corporate debtor]. The details of the same are .....

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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 c .....

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curity held, the value of security and its date, or b. retention title arrangement in respect of goods or properties to which the claim refers 9. Details of bank account to which the amount of the claim or any part thereof can be transferred pursuant .....

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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. A .....

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, justly and truly indebted to me for the claim, the value of which amounts to Rupees. [insert amount of claim]. 2. In respect of my claim, I have relied on the documents specified below: [Please list the documents relied on as evidence of claim] 3. .....

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