BEFORE THE HON’BLE NATIONAL COMPANY LAW TRIBUNAL

BENCH

Case No......

IN THE MATTER OF:

The Insolvency and Bankruptcy Code, 2016

AND IN THE MATTER OF:

Company Petition No...... filed by ...... (Name of the Corporate Debtor)under Section 10 of the Insolvency and Bankruptcy Code read with Rule 7 of Insolvency and Bankruptcy (Application to Adjudicating Authority) Rules, 2016

AND IN THE MATTER OF:

The Order dated CIRP Commencement Date passed in Company Petition No. ______, inter alia, admitting the said petition.

AND IN THE MATTER OF:

Report by the Committee of Creditors of ...... (Name of the Corporate Debtor) certifying continuation of existing Interim Resolution Professional as Resolution Professional under Section 22(3)(a) of the Insolvency and Bankruptcy Code, 2016

Committee of Creditors through the ......

……Applicants/Financial Creditors

The Committee of Creditors of ...... (Name of the Corporate Debtor)through...... (Name of the FC, who is intimating this to the NCLT), a ...... having its branch office at ......

The registered office of M/s ...... (Name of the Corporate Debtor)(Corporate Debtor) is situated at ......

The Committee of Creditors have authorised ...... (Name of the Financial Creditor ) to file this report on their behalf. Hereto annexed and marked as “Annexure-A” is a copy of the authority letters issued by the members of the Committee of Creditors, in favour of ...... (Name of the Financial Creditor).

The application for Corporate Insolvency Resolution Process filed by M/s ...... (Name of the Corporate Debtor)( Corporate Debtor) under Section 10 of the Insolvency and Bankruptcy Code, 2016 read with Rule 7 of Insolvency and Bankruptcy (Application to Adjudicating Authority) Rules 2016 was admitted by NCLT bench vide orderno.C.P. No...... dated...... wherein...... (Name of the IRP) of ...... (Address of RP) was appointed as Interim Resolution Professional.

In Compliance with Section 13, Section 15 and other applicable sections of the Code read with Regulation 6 of Insolvency and Bankruptcy Board of India (Insolvency Resolution Process for Corporate Persons) Regulations 2016 (here in after called ‘Regulations’), a public announcement was made on ...... ;

a.  Intimating the commencement of Corporate insolvency Resolution Process against M/s ...... (Name of the Corporate Debtor)and

b.  Calling the creditors to submit the proof of claims by ...... in (English) at ...... (regional language) ...... and also in National Newspaper (English) at......

Accordingly, the members of the Committee of Creditors being Financial Creditors of the Corporate Debtor submitted their respective claims to the Interim Resolution Professional.

Thereafter in accordance with Section 21 of the Code, Mr...... (Name of the IRP) constituted the Committee of Creditors comprising of ...... Financial Creditors of the Corporate Debtor.

The ...... Meeting of the Committee of Creditors was held on ...... wherein the Committee of Creditors by majority voting share of 100% of the financial creditors, resolved to appoint the Interim Resolution Professional, Mr...... (Name of IRP) as the Resolution Professional. Hereto annexed and marked as “Annexure-B” is a copy of the Minutes of the 1st Meeting of Committee of Creditors held on ......

Accordingly in compliance with Section 22(3)(a) of the Insolvency and Bankruptcy Code, 2016, ...... (Name of the Financial Creditor), on behalf of the Committee of Creditors is filing this report.

Filed by:

Committee of Creditors of ......

Through ...... (Name of the Financial Creditor, who is intimating this to the NCLT)

Date:

Place:

AFFIDAVIT

I,______, Indian Inhabitant and ______& Authorised Signatory of ...... (Name of the Financial Creditor )having office at ______do hereby solemnly affirm and state as follows:

I say that I am the ______of ...... (Name of the Financial Creditor )and as such am competent and authorised to make this affidavit on behalf of the Committee of Creditors of ...... (Name of the Corporate Debtor)through ...... (Name of the Financial Creditor). I am conversant with the facts of the case and able and authorised to depose to the same.

The Committee of Creditors have filed the above Report under section 22 (3)(a) of the Insolvency and Bankruptcy Code, 2016, certifying continuation of the Interim Resolution Professional, Mr...... (Name of IRP/RP) as Resolution Professional. The Committee of Creditors have duly authorised ...... (Name of the Financial Creditor )(Lead Bank of Consortium of Banks of the Corporate Debtor,) to file this report on their behalf.

I state that the contents of this Report are true and correct to the best of my knowledge, information and belief.

Solemnly affirmed at ______on ______day of ...... 2017.

Before me,

Notary/ Oath Commissioner Deponent’s Signature