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PROOF OF CLAIM BY AUTHORISED REPRESENTATIVE OF WORKMEN OR EMPLOYEES- Regulation 19- Liquidation Process

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..... or [ Name of the Liquidator ] [ Address as set out in the public announcement ] From [ Name and address of the authorised representative of workmen/ employees ] Subject: Submission of proof of claim in respect of the liquidation of [ name of corporate debtor ] under the Insolvency and Bankruptcy Code, 2016. Madam/Sir, I, [ name of duly authorised representative of the workmen/ .....

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..... as are set out against their respective names in the said Annexure. 2. That for which said sums or any part thereof, they have not, nor has any of them, had or received any manner of satisfaction or security whatsoever, save and except the following: [ Please state details of any mutual credits, mutual debts, or other mutual dealings between the corporate debtor and the workmen / employees .....

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..... 2. Particulars of how dues were incurred by the corporate debtor, including particulars of any dispute as well as the record of pendency of suit or arbitration proceedings. 3. Particulars of any mutual credit, mutual debts, or other mutual dealings between the corporate debtor and the workmen / .....

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..... e, valid and genuine to the best of my knowledge, information and belief. 4. In respect of the said sum or any part thereof, the workmen / employees have not, nor has any person, by my order, to my knowledge or belief, for my use, had or has received any manner of satisfaction or security whatsoever, save and except the following: [ Please state details of any mutual credit, mutual debts, or .....

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