PROOF OF CLAIM BY OPERATIONAL CREDITORS EXCEPT WORKMEN AND EMPLOYEES- Regulation 7- Insolvency Resolution Process for Corporate Persons

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..... [ Name of the operational creditor ], hereby submits this proof of claim in respect of the corporate insolvency resolution process in the case of [ name of corporate debtor ]. The details for the same are set out below: PARTICULARS 1. NAME OF OPERATIONAL CREDITOR 2. IDENTIFICATION NUMBER OF OPERATIONAL CREDITOR (IF AN INCORPORATED BODY PROVIDE IDENTIFICATION NUMBER AND PROOF OF INCORPORATION. IF A PARTNERSHIP OR INDIVIDUAL PROVIDE IDENTIFICATION RECORDS* OF ALL THE PARTNERS OR THE INDIVIDUAL) 3. ADDRESS AND EMAIL ADDRESS OF OPERATIONAL CREDITOR FOR CORRESPONDENCE 4. .....

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..... Address of person signing *PAN number, passport, AADHAAR Card or the identity card issued by the Election Commission of India 1 [ DECLARATION I, [ Name of claimant ], currently residing at [ insert address ], hereby declare and state as follows:- 1. [ Name of corporate debtor ], the corporate debtor was, at the insolvency commencement date, being the ..day of 20 .., actually indebted to me in the sum of Rs. [ insert amount of claim ]. 2. 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 ]. 3. The said documents are true, valid and genuine to the best of my knowle .....

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..... . . 20. . . . ., justly and truly indebted to me in the sum of Rs. [insert amount of claim]. 2. 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] 3. The said documents are true, valid and genuine to the best of my knowledge, information and belief. 4. In respect of the said sum or any part thereof, 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 .....

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