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Application for registration as an insolvency professional

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..... hereby apply on behalf of [name of the applicant entity], recognised by the Board as an insolvency professional entity with recognition number [recognition number], having registered address at [registered address of the applicant entity] I hereby apply for (i) enrolment as a professional member with the under regulation 10 of Insolvency and Bankruptcy Board of India (Model Bye- Laws and Governing Board of Insolvency Professional Agencies) Regulations, 2016; and (ii) registration as an insolvency professional under section 207 of the Insolvency and Bankruptcy Code, 2016 read with regulation 6 (1A) of the Insolvency and Bankruptcy Board of India (Insolvency Professionals) Regulations, 2016. I hereby enclose proof (certified .....

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..... e insolvency professional agency. 3. I, on behalf of [name of the applicant entity], hereby affirm that (i) all information contained in this application is true and correct in all material respects, (ii) no material information relevant for the purpose of this application has been suppressed, and (iii) enrolment granted in pursuance of this application may be cancelled summarily if any information submitted herein is found to be false or misleading in material respects at any stage. 4. I, hereby confirm that the applicable fee has been paid to the agency vide [please enter the payment details along with date of making the payment] and enclose proof thereof. 5. If granted certificate of membership, I, on behalf of .....

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..... onal entity], affirm that the insolvency professional entity is eligible to be registered as an insolvency professional with the Board. 3. I, on behalf of [name of the insolvency professional entity], hereby affirm that (i) all information contained in this application is true and correct in all material respects, (ii) no material information relevant for the purpose of this application has been suppressed, and (iii) registration granted in pursuance of this application may be cancelled summarily if any information submitted herein is found to be false or misleading in material respects at any stage. (iv) the insolvency professional entity may be derecognised if any information submitted herein is found to be false or .....

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..... dia Subject: Application for registration as an insolvency professional Sir / Madam, The application for registration received from [Name of the professional member] after obtaining the membership [Professional Membership Number], under section 207 of the Insolvency and Bankruptcy Code, 2016 read with regulation 6 (1A) of the Insolvency and Bankruptcy Board of India (Insolvency Professionals) Regulations, 2016 is hereby submitted to the Board. 2. We have verified the details furnished by the professional member , who is our professional member with . We hereby confirm that: - (i) the entity has _______ number of partners or directors, as the case may be, as on the date of forwarding application to the Board. (ii) .....

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..... egulations). I hereby enclose proof (certified copy of Board/ Partner s Resolution) that I am authorised to make this application and correspond with the Board in this respect. ADDITIONAL INFORMATION 2. Whether the applicant entity is a subsidiary, joint venture or associate of another company or body corporate? (Yes/ No) If yes, please give complete details of such company or body corporate. 3. Whether the applicant entity and/ or any of its partner or director, as the case may be, is a fit and proper person in terms of regulation 4 of IP Regulations? (Yes/ No) If yes, please give complete details along with current status. 4. Please provide any additional information that may be relevant for grant of certificate of reg .....

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..... ed Signatory (Name) (Designation) (Insolvency Professional Registration Number of Authorised Signatory -----------) (Name of the Insolvency Professional Entity--------) (Recognition Number of the Insolvency Professional Entity----) Place: Date : ATTACHMENTS 1. Certified copy of Board / Partners Resolution authorising the person to make this application and correspond with the Board in this respect. 2. Copy of Certificate of Recognition. 3. Copy of Certificate of Professional Membership issued by the Insolvency Professional Agency Yours faithfully, Authorised Signatory (Name) (Designation) (Insolvency Professional Registration No. of Authorised Signatory-----------) (Name of the Insolvenc .....

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