Insolvency and Bankruptcy Board of India

Details of Application

Application by:

Corporate Debtor

Application Under:

Section 54A

Application to be filed at NCLT:*

Application to be Filed on:*

Amount of Default INR(Aggregate amount of default to all applicants): *

Details of Applicant

1

Applicant Type: *

Name*

PAN*

CIN/LLPIN

Contact/Mobile No.*

Email*

Address for Correspondence

Details of Person, if any, Authorised to file this Application

Name

PAN

CIN / LLPIN

Contact/Mobile No.

Email

Address for Correspondence

Details of Corporate Debtor against which CIRP is to be Initiated

Name *

PAN*

CIN / LLPIN *

Contact/Mobile No.

Email*

Registered Office Address *

Details of IP, Proposed as RP

Name *

PAN*

Contact/Mobile No.*

E-mail*

Address for Correspondence*

IBBI Registration No.*

Date of Consent to act as RP*

UPLOAD COPY OF APPLICATION (MAX 50MB, PDF ONLY )*

Date *

Place *

Form 1A