Depositor repayment claims seek direction for company to repay deposits or debentures with due interest under statutory provisions. Application form enabling a depositor or debenture holder to petition the Company Law Board for an order directing a company to repay deposits or debentures with interest. The form requires bench identification, statutory basis, applicant and company details, particulars of deposit/debenture (amount, receipt number and date, terms, maturity), payments made, actual amount due, correspondence copies, and any other relevant particulars. The applicant prays for repayment in accordance with terms and for such further orders as the Board may deem fit. Filing requires signature, fee by bank draft, and submission in duplicate; regulatory amendment notes are included.