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Application for determination of sickness

Legal Yojana

Updated: Sep 18, 2024

Application for determination of sickness


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FORM NO. RNR. 1



Application for determination of sickness



[Pursuant to section 253 & rule 4(1)]



BEFORE THE NATIONAL COMPANY LAW TRIBUNAL,



AT ____________BENCH



IN THE MATTER OF SECTION …….. OF THE COMPANIES ACT, 2013,



AND



IN THE MATTER OF ……………………



(State the name and registered office address of the company)



AND



IN THE MATTER OF ……………. (Applicant)



(State the name and address of the applicant)



Details of application:



  1. This application is being filed by :-



Secured creditor of the company



Debtor company






Central government



Reserve Bank of India



State government



PFI/ SLI/ Scheduled bank



Any other, specify



[* mention whichever is applicable]



2. Particulars of the applicant(s) (need not be stated where company is the applicant) [Full name, age, description, father’s / husband’s name, occupation, capacity, i.e. qua shareholder, qua depositor and complete address of the applicant(s)]






3. Particulars of the company, whether applicant or not-



Name of the company:



CIN:



  1. Registered office address: E-mail id:


Date of incorporation of company:



  1. Main business activities of the company:



*Whether the company is listed:







Yes



No



If yes, name of the stock exchange(s) where the company is listed



[* mention whichever is applicable]



6. Name of the Regulatory Authority, if any, regulating the company


7. Facts of the case are:



a. In case of secured creditor(s),



  1. Total amount of outstanding debt of the company:



  1. Amount demanded by the secured creditor:



  1. Date of service of the first notice of demand (not later than 30 days):


b. In case of application by the Company:



i.Total amount of outstanding debt of the Company;



ii.Amount demanded by the secured creditor;



iii. Date of service of first notice of demand.



  1. In case of State Government, the details of the undertaking of the company situated in such State:


  1. In case of PFI/ SLI/ Scheduled bank,







  1. Type of the financial assistance provided to the company:



  1. Amount of such assistance:



  1. Grounds for making this application:



e. Any other facts of the case:



8. Jurisdiction of the Bench.



The applicant declares that the subject-matter of the application is within the jurisdiction of the Bench


9. Relief sought.


In view of the facts mentioned in para .….. above , the applicant prays for the following relief(s): (Specify below the relief(s) sought explaining the ground for relief(s) and the legal provisions (if any) relied upon)


Interim order, if any, prayed for.


Pending final decision on the application, the applicant seeks issue of the following interim order:


(Give here the nature of the interim order prayed for with reasons)


  1. Particulars of Bank draft evidencing payment of fee for the application made:


  1. Branch of the Bank on which drawn:


  1. Name of the issuing branch:


  1. Demand Draft No. :


  1. Date:


  1. Amount (in Rs.):






12. List of enclosures:





a.


b.


c.


Signature of Applicant


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