(1) The Adjudicating Authority may permit withdrawal of the application submitted under rule 6 or rule 7, as the case may be,
(a) before its admission, on a request made by the applicant;
(b) after its admission, on the request made by the applicant, if ninety per cent. of the creditors agree to such withdrawal.
(2) An application for withdrawal under clause (b) of sub-rule (1) shall be in Form D.
FORM A
[See rule 6(1)]
APPLICATION BY GUARANTOR TO INITIATE INSOLVENCY RESOLUTION PROCESS
[Under rule 6 of the Insolvency and Bankruptcy (Application to Adjudicating Authority for Insolvency Resolution Process for Personal Guarantors to Corporate Debtors) Rules, 2019]
[Date]
To
The Adjudicating Authority
[Address]
From
[Name and address of the guarantor]
In the matter of [name of the guarantor]
Subject: Application to initiate insolvency resolution process in respect of [name of the guarantor].
Madam/Sir,
I/We hereby submit this application to initiate an insolvency resolution process in respect of [name of guarantor]. The details for the purpose of this application are set out below
Part-I
| PARTICULARS OF THE GUARANTOR |
| 1. |
Title and full name |
|
| 2. |
Date of birth and e-mail address |
|
| 3. |
Any other name, if any, by which the guarantor is or has been known |
|
| 4. |
Address: (i) Present (ii) Permanent (iii) Business |
|
| 5. |
Occupation/Business/Profession |
|
| 6. |
Annual income in the preceding financial year (in Rs.) |
|
| 7. |
List of associates of the guarantor, including relatives, who are its creditors |
Name |
Age |
Address |
| |
|
|
| 8. |
Bank account details (Joint and Several) |
Account number |
IFSC code |
Name of Bank and Branch address |
| |
|
|
| 9. |
Identification number |
Aadhaar number |
Passport number |
PAN |
GSTIN |
| |
|
|
|
| 10. |
Contact No.(s) |
Home |
Mobile |
Business |
| |
|
|
| 11. |
List of assets of guarantor and immediate family as on the application date. Note: This will include all assets of guarantor, irrespective of them being excluded assets. Please mention which assets may be excluded assets. |
Immovable |
Description |
Estimated value |
Excluded asset or not |
| |
|
|
|
| Movable |
Description |
Estimated value |
Excluded asset or not |
| Vehicles |
|
|
|
| Shares in listed companies |
|
|
|
| Shares in other companies |
|
|
|
| Life insurance policy |
|
|
|
| Jewellery |
|
|
|
| Pension policy |
|
|
|
| Investment in mutual funds |
|
|
|
| |
|
Investment in other funds |
|
|
|
| Investment in partnerships and other business concerns |
|
|
|
| Any other movable property |
|
|
|
| 12 |
Number of directorships held in the last three preceding years (along with name of company in which directorship is held) and CIN of such companies |
|
| 13 |
Marital status (single, married, divorced, widowed, cohabiting, separated, or specify if any other) |
|
| 14 |
Details regarding guarantee(s) given by 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 |
|
| Identification number of corporate debtor |
|
| Whether corporate debtor is an associate |
|
| Any securities held in corporate debtor for whom guarantee is given |
|
| Whether the guarantee has been invoked and proof thereof. |
|
| 15 |
Where the guarantor is not a resident in India, the name and address of the person authorised to accept the service of process on guarantor's behalf, along with the authority letter. |
|
Part - II
[Please complete this part if you have been self-employed, or a partner in a firm. If not, go to part III]
| BUSINESS PARTICULARS OF GUARANTOR |
| 1. |
Name of business and form of business |
|
| 2. |
Details of registration, if any |
|
| 3. |
Description of business |
|
| 4. |
Business address |
|
| 5. |
Annual income of guarantor |
|
| 6. |
If business organisation is a firm, mention the details below. |
|
| (i) |
Date of joining firm |
|
| (ii) |
Capital subscription as per latest balance sheet |
|
| (iii) |
Profit sharing as per latest balance sheet |
|
| (iv) |
Name, address and authority of person submitting application on behalf of the firm |
|
Part - III
| PARTICULARS OF DEBT [CREDITOR WISE, AS APPLICABLE] |
| 1 |
Name(s) of creditor(s) |
|
| 2 |
Address |
Present |
Permanent |
Business |
| |
|
|
| 3 |
Total debt (including any interest or penalties) |
|
| 4 |
Amount of debt in default |
|
| 5 |
Interest or penalties, if any |
|
| 6 |
Date when the debt was due |
|
| 7 |
Date when the default occurred |
|
| 8 |
Nature of the debt |
|
| 9 |
Name, address and other particulars of corporate debtor |
|
| 10 |
Secured debt including particulars of security held, the date of its creation, estimated value of security as per the creditor and details of security |
|
| 11 |
Unsecured debt |
|
| 12 |
Details of retention of title arrangements (if any) in respect of goods to which the debt refers |
|
| 13 |
Record of default with the information utility, if any |
|
| 14 |
List of documents attached to this application in order to prove the existence of debt and the amount in default |
|
| 15 |
Statement by guarantor in respect of excluded debts |
I [guarantor] hereby state that the debt(s) for which the 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. |
Part IV
| PARTICULARS OF & DECLARATION BY RESOLUTION PROFESSIONAL (IF APPLICATION FILED THROUGH RESOLUTION PROFESSIONAL) |
| 1 |
Title and full name |
|
| 2 |
Address |
Present |
Permanent |
Business |
| |
|
|
| 3 |
E-mail address(es) |
|
| 4. |
Contact number |
Home |
Mobile |
Business |
| |
|
|
| 5. |
Declaration by resolution professional |
I, [name of insolvency professional], an insolvency professional enrolled with [name of insolvency professional agency] having registration number [registration number] have been proposed as the resolution professional by [name of applicant guarantor] in connection with the proposed insolvency resolution process of [name of the guarantor]. I hereby: (i) agree to accept appointment as the resolution professional if an order of appointment is passed by the Adjudicating Authority; (ii) state that the registration number allotted to me by the Board is [insert registration number] and that I am currently qualified to practice as an insolvency professional; (iii) disclose that I am currently serving as an insolvency professional/resolution professional/liquidator/bankruptcy trustee in [insert number and details of the proceedings]; (iv) certify that there are no disciplinary proceedings pending against me with 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 in block letters) |
[Name of the guarantor] has paid the requisite fee for this application through [state means of payment] on [date].
Yours sincerely,
DECLARATION
| Signature of guarantor/person authorised to act on behalf of the guarantor [Please enclose the authorisation document if this application is being submitted on behalf of the guarantor] |
| Name in block letters |
| Address of person signing |
I, [Name of applicant], currently residing at [insert address], hereby declare and state as follows:
1. In respect of this application for insolvency resolution process, I have relied on the documents specified below: [Please list the documents relied on].
2. The contents of the said application along with the said documents are true, valid and genuine to the best of my knowledge, information and belief and nothing material facts have been concealed therefrom.
Date:
Place:
(Signature of the applicant)
VERIFICATION
I, [name of applicant], do hereby verify that the contents of this application are true and correct to my knowledge and belief. Nothing is false and no material has been concealed therefrom.
Verified at _______ on this ____ day of _______ 201__
________
(Signature of the Applicant)
ATTACHMENTS: List of documents to be appended to the application:
1. All documents mentioned in serial number 14 of Part III of this form.
2. Copy of the income tax returns with detailed computation of the income of the guarantor, or the firm, as the case may be, for the previous three years.
3. Copy of the personal guarantee contract.
4. Copies of entries in a bankers' book in accordance with the Bankers Books Evidence Act, 1891 (18 of 1891)
5. The latest and complete copy of the financial contract reflecting all amendments and waivers to date.
6. Copies of relevant ownership and title documents for all assets.
7. Copy of the authorisation, wherever required under this form.
8. Proof that the application fee has been paid.
9. Documentary evidence of all information sought in each entry for each Part of the form.
10. A statement of affairs of the guarantor made up to a date not earlier than seven days from the date of the application including the following information and supporting documents, namely:
(i) guarantor's assets (inclusive of assets which may be excluded assets) and liabilities for the previous three years;
(ii) secured and unsecured debts (inclusive of excluded debts mentioned in serial number 15 of Part III of the form) with names of the creditors, and all requisite details for the previous three years;
(iii) particulars of debt owed by guarantor to associates of the corporate debtor for the previous three years;
(iv) guarantees given in relation to any of the debts of the corporate debtor, and if any of the guarantors is an associate of the corporate debtor;
(v) financial statements with all annexures and schedules for the business owned by the guarantor, or of the firm in which the guarantor is a partner, as the case may be, for the previous three years, if applicable;
(vi) wealth tax statements, if any, filed by the guarantor, for the previous five years;
(vii) income statement of the guarantor, for the previous three years;
(viii) payment of indirect taxes including GST for the previous three years.
FORM B
[See rule 7(1)]
FORM OF DEMAND NOTICE
[Under rule 7(1) of the Insolvency and Bankruptcy (Application to Adjudicating Authority for Insolvency Resolution Process of Personal Guarantors to Corporate Debtors) Rules, 2019]
[Date]
To
[Name and address of the guarantor]
From
[Name and address of the creditor]
Subject: Demand notice in respect of unpaid debt in default due from [corporate debtor] under the Code.
Madam/Sir,
1. This letter is a demand notice of unpaid debt in default due from [name of corporate debtor].
2. Please find particulars of the unpaid debt in default below:
| PARTICULARS OF DEBT |
| 1 |
Total outstanding debt (including any interest or penalties) |
|
| 2 |
Amount of debt in default |
|
| 3 |
Date when the debt was due |
|
| 4 |
Date when the default occurred |
|
| 5 |
Nature of the debt |
|
| 6 |
Secured debt including particulars of security held, the date of its creation, its estimated value as per the creditor (as applicable), and details of securities |
|
| 7 |
Unsecured debt (as applicable) |
|
| 8 |
Details of retention of title arrangements (if any) in respect of goods to which the debt refers (attach a copy) |
|
| 9 |
Particulars of an order of a court, tribunal or arbitral panel adjudicating on the default, if any (attach a copy of the order) |
|
| 10 |
Record of default with the information utility, if any (attach a copy) |
|
| 11 |
Details of succession certificate, or probate of a WILL, or letter of administration, or court decree (as may be applicable), under the Indian Succession Act, 1925 (10 of 1925) (attach a copy) |
|
| 12 |
Provision of law, contract or other document under which debt has become due (attach a copy) |
|
| 13 |
A statement of bank account where deposits are made or credits received normally by the creditor in respect of the debt of the corporate debtor, from the date on which the debt was incurred |
|
| 14 |
List of documents attached to this notice in order to prove the existence of debt and the amount in default |
|
3. If you believe that the debt has been repaid before the receipt of this notice, please demonstrate such repayment by sending to us, within fourteen days of receipt of this notice, the following:
(a) an attested copy of the record of electronic transfer of the unpaid amount from the bank account of the guarantor; or
(b) evidence of encashment of cheque for the unpaid amount issued by the guarantor; or
(c) an attested copy of any record that [name of the creditor] has received the payment.
4. The undersigned request you to unconditionally pay the unpaid debt in default in full within fourteen days from the receipt of this letter failing which insolvency resolution process, under the Code, shall be initiated against you
Yours sincerely,
| Signature of creditor/person authorised to act on behalf of the creditor [Please enclose the authorisation document if this notice is being issued on behalf of the creditor] |
| Name in block letters |
| Address of person signing |
Instructions
1. Please serve a copy of this notice on the guarantor, fourteen days in advance of filing an application under section 95 of the Code.
2. Please attach a copy of such served notice with the application made by the creditor to the Adjudicating Authority.
FORM C
[See rule 7(2)]
APPLICATION BY CREDITOR TO INITIATE INSOLVENCY RESOLUTION PROCESS
[Under rule 7(2) of the Insolvency and Bankruptcy (Application to Adjudicating Authority for Insolvency Resolution Process for Personal Guarantors to Corporate Debtors) Rules, 2019]
[Date]
To
The Adjudicating Authority
[Address]
From
[Name and address of the creditor]
In the matter of [name of the guarantor]
Subject: Application to initiate insolvency resolution process in respect of [name of the guarantor] under the Code.
Madam/Sir,
[Name of the creditor], 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 guarantor is or has been known (as applicable) (to the extent known) |
|
| 4. |
Address |
Present |
Permanent |
Business |
| |
|
|
| 5. |
Occupation/Business/Profession |
|
| 6. |
Annual income (to the extent known) |
|
| 7. |
List of associates of the guarantor, including relatives, who may be creditors (to the extent known) |
Name |
Age |
Address |
| |
|
|
| 8. |
Bank account details (Joint and Several) |
Account number |
IFSC Code |
Name of the bank and Branch address |
| |
|
|
| 9. |
Identification number |
Aadhaar number |
Passport number |
PAN |
GSTIN |
| |
|
|
|
| 10. |
Contact number(s) |
Home |
Mobile |
Business |
| |
|
|
| 11. |
List of assets of guarantor as on the application date (to the extent known) Note: this will include all assets of guarantor, irrespective of them being excluded assets. |
Immovable |
Description |
Estimated value |
Excluded asset or not |
| |
|
|
|
| Movable |
Description |
Estimated value |
Excluded asset or not |
| Vehicles |
|
|
|
| Shares in listed companies |
|
|
|
| |
|
Shares in other companies |
|
|
|
| Life insurance policy |
|
|
|
| Jewellery |
|
|
|
| Pension policy |
|
|
|
| Investment in mutual funds |
|
|
|
| Investment in other funds |
|
|
|
| Investment in partnerships and other business concerns |
|
|
|
| Any other movable property |
|
|
|
| 12. |
Number of directorships held in the preceding three years (along with name of company in which directorship is held) and CIN of such companies |
|
| 13. |
Marital status (single, married, divorced, widowed, co-habiting, separated, or specify any other) (to the extent known) |
|
| 14. |
Details regarding personal 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 default occurred |
|
| 5. |
Nature of the debt |
|
| 5. |
Secured debt including particulars of security held, the date of its creation, its estimated value as per the creditor (as applicable) |
|
| 6. |
Unsecured debt (as applicable) |
| 7. |
Details of retention of title arrangements (if any) in respect of goods to which the debt refers (attach a copy) |
|
| 8. |
Details of any mutual credit, mutual debts, or other mutual dealings between the guarantor and the creditor, which may be set-off against the claim (attach proof) |
|
| 9. |
Particulars of an order of a court, tribunal or arbitral panel adjudicating on the default, if any (attach a copy of the order) |
|
| 10. |
Record of default with the information utility, if any (attach a copy) |
|
| 11. |
Details of succession certificate, or probate of a will, or letter of administration, or court decree (as may be applicable), under the Indian Succession Act, 1925 (10 of 1925) (attach a copy) |
|
| 12. |
Provision of law, contract or other document under which debt has become due (attach a copy) |
|
| 13. |
A statement of bank account where deposits are made or credits received normally by the creditor in respect of the debt of the corporate debtor, from the date on which the debt was incurred (attach a copy) |
|
| 14. |
List of documents attached to this application in order to prove the existence of debt and the amount in default |
|
| 15. |
Statement by creditor in respect of excluded debts |
I [creditor] hereby state that the debt(s) for which the 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 personb under any law for the time being in force; (iv) liability in relation to a student loan; |
| 16. |
|
(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 enforce my security [insert description] during the period of the repayment plan. |
| I do not agree to forfeit my right to enforce my security [insert description] during the period of the repayment plan. |
Part-IV
| PARTICULARS OF & DECLARATION BY INSOLVENCY PROFESSIONAL (IF APPLICATION FILED THROUGH INSOLVENCY PROFESSIONAL) |
| 1. |
Title and full name |
|
| 2. |
Address |
Present |
Permanent |
Business |
| |
|
|
| 3. |
E-mail address(es) |
|
| 4. |
Contact number |
Home |
Mobile |
Business |
| |
|
|
| 5. |
Declaration by insolvency professional |
I, [name of insolvency professional], an insolvency professional enrolled with [name of insolvency professional agency] having registration number [registration number.] have been proposed as the resolution professional by [name of applicant guarantor] in connection with the proposed insolvency resolution process of [name of the guarantor]. I hereby: (i) agree to accept appointment as the resolution professional if an order of appointment is passed by the Adjudicating Authority; (ii) state that the registration number allotted to me by the Board is [insert registration number] and that I am currently qualified to practice as an insolvency professional; (iii) disclose that I am currently serving as an interim resolution professional/resolution professional/authorized representative/liquidator/bankruptcy trustee in [insert number and details of the proceedings]; (iv) certify that there are no disciplinary proceedings pending against me with 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].
Yours sincerely,
| Signature of creditor/person authorised to act on behalf of the creditor [Please enclose the authorisation document if this application is being submitted on behalf of the creditor] |
| Name in block letters |
| Address of person signing |
List of documents to be attached to the application:
1. All documents mentioned in serial number. 15 of Part III of this form.
2. Copy of the demand notice served on the guarantor in Form B.
3. Copy of the income tax returns with detailed computation of the income of the guarantor, or the firm, as the case may be, for the previous three years, if available.
4. Copy of the personal guarantee contract.
5. Copy of the authorisation, wherever required under this form.
6. Proof that the application fee has been paid.
7. Documents evidencing the debt and the default in relation to the debt, as may have been provided by the guarantor at any point in time, if available.
8. Documents evidencing the assets, liabilities, income and any other relevant information as may have been provided by the guarantor at any point in time, if available.
9. Documentary evidence of all information sought in each entry for each Part of the form.
Form D
[See rule 11(2)]
APPLICATION FOR WITHDRAWAL OF INSOLVENCY RESOLUTION PROCESS
[Under rule 11(2) of the Insolvency and Bankruptcy (Application to Adjudicating Authority for Insolvency Resolution Process for Personal Guarantors) Rules, 2019]
[Date]
To
The Adjudicating Authority
[Address]
From
[Name and address of applicant]
In the matter of [name of guarantor]
Subject: Withdrawal of application for insolvency resolution process of [name of guarantor] admitted on .
1. [Name of applicant], had filed an application bearing [particulars of application, i.e, diary number/case number] on [date of filing] before the Adjudicating Authority under [Section 94/Section 95] of the Code. The said application was admitted by the Adjudicating Authority on [date] bearing [case number].
2. I hereby withdraw the application bearing [particulars of application i.e, diary number/case number] filed by [name of applicant] before the Adjudicating Authority under [Section 94/Section 95] of the Code.
3. The creditor(s) have approved the request for withdrawal of the application under rule 11.
4. I have been authorised by the applicant to file this application of withdrawal with the Adjudicating Authority.(strike out if not applicable)
5. The required bank guarantee towards estimated cost incurred in the process by the resolution professional is attached.
(Signature of the applicant or person authorised by the applicant)
Date:
Place: