Disclosure of interest or lack of independence by provisional liquidator or by Company Liquidator

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..... Y LAW TRIBUNAL BENCH AT . IN THE MATTER OF-----LTD (give the name of the company) (Company incorporated under Companies Act,_______) Petition No........of 20..... ................Petitioner Disclosure .....

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..... in the discharge of my duties as provisional liquidator or Company Liquidator of the said company. [I have the following interests in the above named company which may affect my independence in disch .....

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