PROOF OF CLAIM BY A WORKMAN OR AN EMPLOYEE- Regulation 9 - Fast Track Insolvency Resolution Process for Corporate Persons

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..... tion Professional [Name of the Insolvency Resolution Professional / Resolution Professional] [Address as set out in public announcement] From [Name and address of the workman / employee] Subject: Submission of proof of claim. Madam/Sir, [Name of the workman / employee], hereby submits this proof of claim in respect of the fast track process in the case of [name of corporate debtor]. The det .....

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..... CH THE AMOUNT OF THE CLAIM OR ANY PART THEREOF CAN BE TRANSFERRED PURSUANT TO A RESOLUTION PLAN 10. LIST OF DOCUMENTS ATTACHED TO THIS PROOF OF CLAIM IN ORDER TO PROVE THE EXISTENCE AND NON-PAYMENT OF CLAIM DUE TO THE WORKMAN / EMPLOYEE Signature of workman/employee or person authorised to act on his behalf [Please enclose the authority if this is being submitted on behalf of workman / employe .....

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..... of, I have not nor has any person, by my order, to my knowledge or belief, for my use, had or received any manner of satisfaction or security whatsoever, save and except the following: [Please state details of any mutual credit, mutual debts, or other mutual dealings between the corporate debtor and the creditor which may be set-off against the claim.] Solemnly, affirmed at [insert place] . . . .....

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