PROOF OF CLAIM SUBMITTED BY AUTHORISED REPRESENTATIVE OF WORKMEN AND EMPLOYEES- Regulation 9- Insolvency Resolution Process for Corporate Persons (Omitted)

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.... [name of deponent], currently residing at [insert address], 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: [Please list the documents relied on as evidence of claim] 3. The said documents are true, valid and genuine to the best of my knowledge, information and belief. 4. In respect of the said sum or any part thereof, I have not nor has any person, by my order, to my kno....

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....he duly authorised representative of the workmen / employees] Subject: Submission of proofs of claim. Madam/Sir, I, [name of authorised representative of the workmen / employees], currently residing at [address of authorised representative of the workmen / employees], on behalf of the workmen and employees employed by the above named corporate debtor and listed in Annexure A, solemnly affirm and say: 1. That the above named corporate debtor was, at the insolvency commencement date, being the . . . . . . . . . . .day of. . . . . . . 20 . . . ., justly truly indebted to the several persons whose names, addresses, and descriptions appear in the Annexure A below in amounts severally set against their names in such ....

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....t-off against the claim. Attachments: ^1[Documents relied as evidence as proof of debt and as proofs of non-payment of debt]   ^2[DECLARATION I, [Name of claimant], currently residing at [insert address], do hereby declare and state as follows: - 1. [Name of corporate debtor], the corporate debtor was, at the insolvency commencement date, being the.................day of..............20......., actually 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: [Please list the documents relied on as evidence of claim]. 3. The said documents are true, valid and genuin....