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PROXY FORM - Insolvency Resolution Process for Personal Guarantors to Corporate Debtors

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..... [ Insert matter name / application number for the resolution process ] Full name of creditor Address Present Permanent Business Identification Number .....

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..... er PAN CIN GSTIN E-mail Signature or failing him; 2. Full .....

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..... in respect of the matters indicated in the notice of the meeting [ provide details of the notice ], as listed below- [ insert matters as listed in the agenda ] Signed this [ insert date ] day of [ insert month ] [ insert year ] Signature of creditor Signature of proxy: ] ********** NOTES:- 1. Inserted Vide Notification No. IBB .....

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