PROOF OF CLAIM BY A WORKMAN OR AN EMPLOYEE- Regulation 9- Insolvency Resolution Process for Corporate Persons (Omitted)

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....do solemnly affirm and state as follows: 1. [Name of corporate debtor], the corporate debtor was, at the insolvency commencement date, being the . . . . . . day of . . . . . 20 . . ., justly and truly indebted to me in the sum of Rs. [insert amount of claim]. 2. In respect of my claim of the said sum or any part thereof, I have relied on the documents specified below: [P....

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.... I, the Deponent hereinabove, do hereby verify and affirm that the contents of paragraph . . . . . to . . . . of this affidavit are true and correct to my knowledge and belief and no material facts have been concealed therefrom. Verified at. . . . on this . . . . day of . . . . 201 . . . Deponent's signature" 2.  Omitted vide F. No. IBBI/2026-27/GN/REG15....

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....ate debtor]. The details for the same are set out below: PARTICULARS 1. NAME OF WORKMAN/EMPLOYEE   2. PAN NUMBER, PASSPORT, THE IDENTITY CARD ISSUED BY THE ELECTION COMMISSION OF INDIA OR AADHAAR CARD OF WORKMAN / EMPLOYEE   3. ADDRESS AND EMAIL ADDRESS (IF ANY) OF WORKMAN / EMPLOYEE FOR CORRESPONDENCE   4. TOTAL AMOUNT OF CLAIM ....

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....NON PAYMENT OF CLAIM DUE TO THE OPERATIONAL CREDITOR     Signature of workman employee or person authorised to act on his behalf [Please enclose the authority if this is being submitted on behalf of an operational creditor] Name in BLOCK LETTERS Position with or in relation to creditor Address of person signing   ^1[DECLARATION I, [Name o....