PROOF OF CLAIM BY A WORKMAN OR EMPLOYEE-Regulation 19-Liquidation Process

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..... nouncement ] From [ Name and address of the workman / employee ] Subject: Submission of proof of claim in respect of liquidation of (Name of corporate debtor) under the Insolvency and Bankruptcy Code, 2016. Madam/Sir, [ Name of the workman / employee ], hereby submits this proof of claim in respect of the liquidation of [ name of corporate debtor ]. The details for the same are set .....

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..... 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 WORKMAN / EMPLOYEE WHICH MAY BE SET-OFF AGAINST THE CLAIM 9. DETAILS OF THE BANK ACCOUNT TO WHICH THE WORKMAN / EMPLOYEE'S SHARE OF THE PROCE .....

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..... mencement date, that is, the . . . . . . . . . . . . day of . . . . . . . . . . . 20. . . , justly and truly indebted to me in the sum of Rs. [insert amount of claim]. 6. In respect of my claim of the said sum or any part thereof, I have relied on the documents specified below: [Please list the documents relied on as evidence of claim] 7. The said documents are true, valid and genuine t .....

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