APPLICATION BY FINANCIAL CREDITOR(S) TO INITIATE CORPORATE INSOLVENCY RESOLUTION PROCESS *UNDER CHAPTER II OF PART II/ UNDER CHAPTER IV OF PART II OF THE CODE- Rule 4-Application to Adjudicating Authority

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..... Address ] From, [ Names and addresses of the registered offices of the financial creditors ] In the matter of [ name of the corporate debtor ] Subject: Application to initiate corporate insolvency resolution process in the matter of [ name of the corporate debtor ] under the Insolvency and Bankruptcy Code, 2016. Madam/Sir, [ Names of the financial creditor (s)], hereby submit this application to initiate a corporate insolvency resolution process in the matter of [ name of corporate debtor ]. The details for the purpose of this application are set out below: PART-I PARTICULARS OF APPLICANT (PLEASE PROVIDE FOR EACH FINANCIAL CREDITOR MAKING THE APPLICATION) 1. .....

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..... PER THE NOTIFICATION UNDER SECTION 55 (2) OF THE CODE (i) ASSETS AND INCOME (ii) CLASS OF CREDITORS OR AMOUNT OF DEBT (iii) CATEGORY OF CORPORATE PERSON (WHERE APPLICATION IS UNDER CHAPTER IV OF PART II OF THE CODE) ] PART-III PARTICULARS OF THE PROPOSED INTERIM RESOLUTION PROFESSIONAL 1. NAME, ADDRESS, EMAIL ADDRESS AND THE REGISTRATION NUMBER OF THE PROPOSED INTERIM RESOLUTION PROFESSIONAL PART-IV PARTICULARS OF FINANCIAL DEBT 1. TOTAL AMOUNT OF DEBT GRANTED DATE( S ) OF DISBURSEMENT 2. .....

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..... ACCORDANCE WITH THE BANKERS BOOKS EVIDENCE ACT, 1891 (18 OF 1891) (ATTACH A COPY) 8. LIST OF OTHER DOCUMENTS ATTACHED TO THIS APPLICATION IN ORDER TO PROVE THE EXISTENCE OF FINANCIAL DEBT, THE AMOUNT AND DATE OF DEFAULT I, hereby certify that, to the best of my knowledge, [ name of proposed insolvency professional ], is fully qualified and permitted to act as an insolvency professional in accordance with the Insolvency and Bankruptcy Code, 2016 and the associated rules and regulations. 3 [ [ Name of the financial creditor ] has paid the requisite fee for this application through [ state means of payment ] on [ date ] and served a copy of this application by registered po .....

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