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

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..... The Interim Resolution Professional / Resolution 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 .....

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..... 6. DETAILS OF ANY DISPUTE AS WELL AS THE RECORD OF PENDENCY OR ORDER OF SUIT OR ARBITRATION PROCEEDINGS 7. DETAILS OF HOW AND WHEN CLAIM AROSE 8. DETAILS OF ANY MUTUAL CREDIT, MUTUAL DEBTS, OR OTHER MUTUAL DEALINGS BETWEEN THE CORPORATE DEBTOR AND THE CREDITOR WHI .....

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..... AFFIDAVIT I, [ name of deponent ], currently residing at [ insert address ], do solemnly affirm and state as follows: 1. [Name of corporate debtor], the corporate debtor was, at the fast track commencement date, being the . . . . . . . . . . . . day of . . . . . . . . . . . . 20 . . . . . . . . . . . ., justly and truly indebted to me in the sum of Rs. [insert amount of claim]. .....

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..... . . . . . . . . . . . . 20 . . . . . . . . . . . . Before me, Notary/ Oath Commissioner Deponent's signature VERIFICATION I, the Deponent hereinabove, do hereby verify and affirm that the contents of paragraph . . . . . . . . . . . . to . . . . . . . . . . . . of this affidavit are true and correct to my knowledge and belief and no material facts have been concealed therefr .....

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