Form 1
(See sub-clause (i) of clause (a) of Rule 5)
APPLICATION BY APPROPRIATE REGULATOR TO INITIATE INSOLVENCY RESOLUTION PROCESS UNDER THE CODE.
(Under Rule 5 of the Insolvency and Bankruptcy (Insolvency Resolution and Liquidation Proceedings of Financial Service Providers and Application to Adjudicating Authority) Rules, 2019)
[Date]
To
The National Company Law Tribunal
[Address]
From
[Names and addresses of the registered office of the appropriate regulator]
In the matter of [name of the financial service provider]
Subject: Application to initiate corporate insolvency resolution process [name of the financial service provider] under the Insolvency and Bankruptcy Code, 2016.
Madam/Sir,
[Name of appropriate regulator], hereby submit this application to initiate a corporate insolvency resolution process [name of financial service provider]. The details for the urpose of this application are set out below:
Part I
PARTICULARS OF APPLICANT
| 1 | Name of appropriate regulator | |
| 2 | Address of the appropriate regulator | |
| 3 | Name and address of the person authorised to submit application on its behalf (enclose authorisation) | |
| 4 | Name and address of person authorised to accept the service of process on its behalf (enclose authorisation) |
Part II
PARTICULARS OF THE FINANCIAL SERVICE PROVIDER
| 1 | Name of the financial service provider | |
| 2 | Identification number of financial service provider | |
| 3 | Date of incorporation of financial service provider | |
| 4 | Nominal share capital and the paid-up share capital of the financial service provider and/or details of guarantee clause as per memorandum of association (as applicable) | |
| 5 | Address of the registered office of the financial service provider |
Part III
PARTICULARS OF THE PROPOSED ADMINISTRATOR
| 1 | Name, address and email address of the Administrator |
Part IV
PARTICULARS OF DEFAULT
Yours sincerely,
| Signature of person authorised to act on behalf of the appropriate regulator |
| Name in block letters |
| Position with or in relation to the appropriate regulator |
| Address of person signing |
Instructions
Please attach the following to this application:
Annex I Copies of all documents referred to in this application.
Annex II Written communication by the proposed Administrator to act as the interim resolution professional as set out in Form 2.
Annex III Proof that the specified application fee has been paid.