TMI BlogAPPLICATION BY CREDITOR TO INITIATE INSOLVENCY RESOLUTION PROCESS - Application to Adjudicating Authority for Insolvency Resolution ProcessX X X X Extracts X X X X X X X X Extracts X X X X ..... PARTICULARS OF APPLICANT 1. Title and full name 2. Date of birth and e-mail address 3. Contact number(s) Home Mobile Business 4. Identification number Aadhaar number CIN PAN GSTIN 5. Address Present Permanent Business 6. Bank Account details (Joint and S ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... Home Mobile Business 11. List of assets of guarantor as on the application date (to the extent known) Note: this will include all assets of guarantor, irrespective of them being excluded assets. Immovable Description Estimated value Excluded asset or not Movable Description Estimated value Excluded asset or not Vehicles Shares in listed companies Shares in other companies ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... Part-III PARTICULARS OF DEBT 1. Total debt (including any interest or penalties) 2. Amount in default 3. Date on which debt was due 4. Date on which default occurred 5 Nature of the debt 6. Secured debt including particulars of security held, the date of its creation, its estimated value as per the creditor (as applicable) 7. Unsecured debt (as applicable) 8. Details of retention of title arrangements (if any) in respect of goods to which the debt refers (attach a copy) ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... If you are a secured creditor, tick the applicable box in the right column relating to forfeiture of right to enforce security during the period of the repayment plan, which will determine the voting share as per section 110 of the Code __ I agree to forfeit my right to enforce my security [insert description] during the period of the repayment plan. __ I do not agree to forfeit my right to enforce my security [insert description] during the period of the repayment plan. Part-IV PARTICULARS OF DECLARATION BY INSOLVENCY PROFESSIONAL (IF APPLICATION FILED THROUGH INSOLVENCY PROFESSIONAL) 1. Title and full name 2. Address Present Permanent Business 3. E-mail address(es) ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... he creditor [ Please enclose the authorisation document if this application is being submitted on behalf of the creditor ] Name in block letters Address of person signing List of documents to be attached to the application: 1. All documents mentioned in serial number. 15 of Part III of this form. 2. Copy of the demand notice served on the guarantor in Form B. 3. Copy of the income tax returns with detailed computation of the income of the guarantor, or the firm, as the case may be, for the previous three years, if available. 4. Copy of the personal guarantee contract. 5. Copy of the authorisation, wherever required under this form. 6. Proof that the application fee has been paid. 7. Documents evidencing the debt and the default in relation to the debt, as may have been provided by the guarantor at any point in time, if available. 8. Documents evidencing the assets, liabilities, income and any other relevant information as may have been provided by the guarantor at any point in time, ..... X X X X Extracts X X X X X X X X Extracts X X X X
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