WRITTEN CONSENT TO ACT AS AUTHORISED REPRESENTATIVE

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..... [Name of the insolvency professional] [Registration number of the insolvency professional] [Registered address of the insolvency professional] To [Name of resolution professional], the resolution professional of pre-packaged insolvency resolution process of [name of corporate debtor] Subject: Written Consent to act as an authorised representative. 1. I, [name], an insolvency professional en .....

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..... Trustee 5 Authorised Representative 6 Any other (Please state) 4. I declare and affirm as under:- a. I am not subject to any disciplinary proceeding initiated by the Board or the Insolvency Professional Agency. b. I do not suffer from any disability to act as an authorised representative. c. I shall not canvass with the creditors to indicate their choice in my favour. Date: Place: .....

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