APPLICATION BY CREDITOR TO INITIATE INSOLVENCY RESOLUTION PROCESS - Application to Adjudicating Authority for Insolvency Resolution Process

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....hereby submits this application to initiate an insolvency resolution process in the case of [name of guarantor]. The details for the purpose of this application are set out below: Part - I PARTICULARS OF APPLICANT 1. Title and full name 2. Date of birth and e-mail address 3. Contact number(s) Home Mobile Business 4. Identification number Aadhaar number CIN PAN GSTIN 5. Address Present Permanent Business 6. Bank Account details (Joint and Several) Account number IFSC Code Name of the Bank and Branch Address Part - II PARTICULARS OF THE GUARANTOR 1. Title and full name 2. Date of birth and e-mail address (to the extent known) 3. Any other name by which the guaran....

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....l guarantor (in addition to information in serial numbers 1-13 of this part) - Name of corporate debtor for which guarantee is given Any current or past position held in the corporate debtor (to the extent known) Identification number of the corporate debtor Whether corporate debtor is an associate (to the extent known) Any securities held in corporate debtor for whom guarantee is given 15. Where the guarantor is not resident in India, the name and address of person resident in India authorised to accept the service of process on guarantor's behalf Part-III PARTICULARS OF DEBT 1. Total debt (including any interest or penalties) 2. Amount in default 3. Date on which debt was due 4. Date on which defa....

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.... insolvency resolution process application is filed does not include any- (i) liability to pay fine imposed by a court or tribunal; (ii) liability to pay damages for negligence, nuisance or breach of a statutory, contractual or other legal obligation; (iii) liability to pay maintenance to any person under any law for the time being in force; (iv) liability in relation to a student loan; (v) any other debt prescribed under section 79(15)(e) of the Code. 17. If you are a secured creditor, tick the applicable box in the right column relating to forfeiture of right to enforce security during the period of the repayment plan, which will determine the voting share as per section 110 of the Code __ I agree to forfeit my right to e....

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....the Board or [name of the insolvency professional agency he is a member of]; (v) affirm that I am eligible to be appointed as a resolution professional in respect of the guarantor in accordance with the Insolvency and Bankruptcy Board of India (Insolvency Resolution Process for Personal Guarantors to Corporate Debtors) Regulations, 2019; (vi) make the following disclosures in accordance with the code of conduct for insolvency professionals as set out in the Insolvency and Bankruptcy Board of India (Insolvency Professionals) Regulations, 2016 [insert disclosures, if any]. (Signature of the insolvency professional) [Name of the creditor] has paid the requisite fee for this application through [state means of payment] on [date]. You....