FORM P05 - WRITTEN CONSENT TO ACT AS AUTHORISED REPRESENTATIVE - Insolvency and Bankruptcy Board of India (Pre-packaged Insolvency Resolution Process) Regulations, 2021

FORM P5 WRITTEN CONSENT TO ACT AS AUTHORISED REPRESENTATIVE (Under regulation 15(iii) of the Insolvency and Bankruptcy Board of India (Pre-packaged Insolvency Resolution Process) Regulations, 2021) From [Name of the insolvency professional] [Registration number of the insolvency professional] [Registered address of the insolvency professional] To [Name of resolution professional], the resolution professional of pre-packaged insolvency resolution process of [name of corporate debtor] Subject: Written Consent to act as an authorised representative. 1. I, [name], an insolvency professional enrolled with [name of insolvency professional agency] and registered with the Board, note that you have proposed to appoint me as the authorised representative of financial creditors in a class [specify class] in the pre-packaged insolvency resolution process of [name of the corporate debtor]. 2. I hereby give my consent for the proposed appointment. 3. I am having the following processes in hand:- Sl. No. Role as Number of processes on the date of consent I II III 1 Interim Resolution Professional 2 Resolution Professional in- a. Insolvency resolution processes for corporate persons b. Pre-packaged insolvency resolution processes c. Insolvency resolution processes for individuals 3 Liquidator of- a. Liquidation Processes b. Voluntary Liquidation Processes 4 Bankruptcy Trustee 5 Authorised Representative 6 Any other (Please state) 4. I declare and affirm as under:- a. I am not subject to any disciplinary proceeding initiated by the Board or the Insolvency Professional Agency. b. I do not suffer from any disability to act as an authorised representative. c. I shall not canvass with the creditors to indicate their choice in my favour. Date: Place: (Signature of the insolvency professional) Registration No.________ Authorisation for assignment (AFA) No. ________ Date of expiry of AFA________ (Name in block letters) (Name of insolvency professional entity, if applicable)