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Under Regulation 20 of the Insolvency and Bankruptcy Board of India (Information Utilities) Regulations, 2017)

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..... 4 Relationship (Debtor/Creditor/ Guarantor/ Co-obligant / Security Provider / Assignee) 5 Date of Birth/ Date of incorporation 6 Communication address 7 PIN Code 8 Telephone No. 9 Mobile No. 10 Email ID-1 (for Submission acknowledgment, other submission related messages or any other general purpose message) 11 Email ID-2 (for Dispute alert sent to submitter) 12 Email ID-3 (for Default alert sent to submitter) Details of Other Parties to the Debt (Apart from the person submitting the debt) Details of Parties (please add as many parties as may be applicable) .....

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..... e identifier of the debt, in case the debt has previously been recorded in any Information Utility) 36 Creditor Location (Creditor s internal location code, where submitted by creditor) 37 Creditor Business Unit (Creditor s internal business unit code, where submitted by creditor) 38 Creditor RM Email (Email of Creditor s Relation Manager, for notification purpose) 39 Debt Contract Date (date of sanction, last renewal, debt acknowledgements, etc.) 40 Debt Start Date (Date of first disbursement or date of activation of the facility) 41 Sanction Reference No. 42 Sanction Currency 43 Sanctioned Amount 44 Drawing Power 45 .....

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..... thecation, Charge, Assignment, Pledge, Lien, Negative Lien, Guarantee, Asset Cover and such other charges ) 68 Assets type (Movable, Immovable, Intangible, Not Classified) 69 Security type (Nature of asset used as security as per list of values) 70 Security Category (Primary, Collateral) 71 Asset ID (identification number of asset on which charge is created) 72 Description of security 73 Value of security 74 Currency of Security 75 Date of valuation 76 ROC Charge ID (as registered with MCA, where applicable) 77 CERSAI Security Interest ID 78 Part-B Remarks .....

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..... 1. Full Name (Please provide your First Name, Middle Name and Last Name) 2. Relationship of the person submitting information to the Debt (Debtor/Creditor/Debenture Trustee/Guarantor/ please specify any other) 3. Unique Identifier as registered with an Information Utility 4. Date of Birth/ Date of incorporation 5. Full Address 6. Telephone No. 7. Mobile No. 8. E-mail ID 9. Fax No. 10. Signature Details of Other Parties to the Debt (Apart from the person submitting the debt) Details of Parties ( please add as many parties as may be applicable ) 11. Relationship of the party to the debt (Debtor/Creditor/Deben .....

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..... of: A. Copy of the Loan Agreement (as revived from time to time) B. Repayment Schedule (If in possession of the submitter) C. Balance Confirmation D. Balance Sheet and Cash Flow Statements (If the submitter is the Debtor) E. Any other document relating to creation of debt/change in terms of the debt B. Details relating to Creation of Security on Debt (If not applicable, please write NA) 38. Security Interest Type (Mortgage/charge/hypothecation/assignment/pledge etc.) 39. Asset Type (Movable, immovable, intangible) 40. Type of Security (Vehicle, inventory, receivable, equipment, Plot etc.) 41. Joint Security Interest (Yes or No) 42. Number of Security Interest Holders 43. Security Interest ID (As per CERSAI) 44. Description of the security (Number, Identification Marks etc.) .....

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