PROOF OF CLAIM BY A WORKMAN OR EMPLOYEE- Regulation 18(1) - Voluntary Liquidation Process

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..... dress of the workman / employee] Subject: Submission of proof of claim in respect of voluntary liquidation of (Name of corporate person) under the Insolvency and Bankruptcy Code, 2016. Madam/Sir, [Name of the workman / employee], hereby submits this proof of claim in respect of the voluntary liquidation of [name of corporate person]. The details for the same are set out below: 1. NAME OF WORK .....

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..... FERENCE TO WHICH THE DEBT CAN BE SUBSTANTIATED AND RELIED ON IN SUPPORT OF THE CLAIM. Signature of workman / employee or person authorised to act on his behalf [Please enclose the authority if this is being submitted on behalf of an operational creditor] Name in BLOCK LETTERS Position with or in relation to creditor Address of person signing AFFIDAVIT I, [name of deponent], currently residi .....

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..... tate details of any mutual credit, mutual debts, or other mutual dealings between the corporate person and the workman / employee which may be set-off against the claim.] Solemnly, affirmed at [insert place] on _________________ day, the __________day of__________ 20_____ Before me, Notary/ Oath Commissioner Deponent's signature VERIFICATION I, the Deponent hereinabove, do hereby verify .....

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