Insolvency and Bankruptcy Board of India

Details of Application

Application by:

Financial Creditor(s)

Operational Creditor(s)

Corporate Applicant

Application Under:

Section 7

Section 9

Section 10

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/s

1

Applicant Type: *

Name*

PAN*

CIN/LLPIN

Contact/Mobile No.*

Email*

Address for Correspondence

Number of Applicants, other than the First Applicant (If submitted by more than one applicant)

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, if any, Proposed as IRP

Name *

PAN*

Contact/Mobile No.*

E-mail*

Address for Correspondence*

IBBI Registration No.*

Date of Consent to act as IRP*

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

Date *

Place *

Form 1A

Form 1A