Certificate as to settlement of the list of debts and claims

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.... District Court (See rule 174) [Heading as in Form No. 1] Company Petition No. ............ of 19 ............ Before Shri ............ (District Judge) ............ Certificate a....

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.... allowed wholly or in part S. No. Name, address and description of creditor Particulars of debt Amount claimed Amount allowed Second Schedule Claims disallowed wholly S. No. ....