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PROOF OF CLAIM BY ANY OTHER STAKEHOLDER- Regulation 20- Liquidation Process

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..... in the public announcement ] From [ Name and address of the other stakeholder ] Subject: Submission of proof of claim in respect of the liquidation of [ name of corporate debtor ] under the Insolvency and Bankruptcy Code, 2016. Madam/Sir, [ Name of the other stakeholder ] hereby submits this proof of claim in respect of the liquidation in the case of [ name of corporate debtor ]. T .....

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..... DETAILS OF HOW AND WHEN CLAIM AROSE 6. DETAILS OF ANY MUTUAL CREDIT, MUTUAL DEBTS, OR OTHER MUTUAL DEALINGS BETWEEN THE CORPORATE DEBTOR AND THE OTHER STAKEHOLDER WHICH MAY BE SET-OFF AGAINST THE CLAIM 7. DETAILS OF ANY RETENTION OF TITLE IN RESPECT OF GOODS OR PROPERTIES TO WHICH THE CLAIM REFERS .....

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..... on signing *PAN, Passport, AADHAAR Card or the identity card issued by the Election Commission of India. AFFIDAVIT I, [ insert full name, address and occupation of deponent to be given ] do solemnly affirm and state as follows: 1. The above named corporate debtor was, at the liquidation commencement date, that is, the . . . . . . . . . . . day of . . . . . . . . . . . 2 .....

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..... the following: [ Please state details of any mutual credit, mutual debts, or other mutual dealings between the corporate debtor and the other stakeholder which may be set-off against the claim .] Solemnly, affirmed at . . . . . . . . . . . on . . . . . . . . . . . day, the . . . . . . . . . . . day of . . . . . . . . . . . 20 . . . . . . Before me, Notary / Oath Commissioner. Depon .....

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