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Form III

IIIPICAI :: Office Management System
Form III: Insolvency Resolution Process Cost of Corporate Debtor for the period under RP
(To be submitted by the RP within Seven Days of his demitting office as RP)
Name of the Corporate Debtor: CIN:
Name of the RP: Registration no of RP:
Name of the Authorised Signatory in case of IPE: Registration no. of Authorised Signatory in case of IPE
Date of Joining as RP: Date of Demitting Office as an RP:
Name of IRP: Registration no of IRP:
Date of commencement of CIRP: Date of Demitting office as an IRP:
Assets (Rs.crore) as on the last balance sheet date:
as on
Turnover (Rs crore) in the last financial year:
Financial Year:
Number of Claimants:
A. Financial Creditor
B. Employees and Workmen
C. Other Operational Creditors
Total:
 Total Amount of Claims (Rs in crore) Admitted on or before 90th day from the Insolvency Commencement date:
A. Financial Creditor
B. Employees and Workmen
C. Other Operational Creditors
Total:
No. of Workmen as on the date of commencement of CIRP:
as on
No. of Employees as on the date of commencement of CIRP:
as on
Activity: Running Process
Expense Head Expense Sub-Head Amount of Expense(Rs.) Amount Ratified / Approved by CoC(Rs.) Remarks, if any
RP Fee Payble to RP
Cost of Insurance for RP
Other Expenses on/for RP
(travel,stay,security,etc related to CIRP.)
IPE Fee payble for support services to an IPE,if any
Registered Valuer
Other Professionals engaged for CIRP,not for Corporate Debtor
Fees Payable to: No. of Professionals Appointed Amount of Expense(Rs.) Amount Ratified / Approved by CoC(Rs.) Remarks, if any
Accounting and Finance Professionals
Audit Professionals
Legal Professionals
Any other Professionals
Other Expenses on/for Professionals:

Travel

Stay

Other out of pocket expenses related to CIRP
Data Room Service
CoC Meetings Meeting Venue
Video Conferencing
Electronic Voting
Expenses for or by Authorised Representative
Any other expenses related to CoC
Examination of Transaction Preferential Transactions
Under/Over-valued Transactions
Extortionate Transactions
Fraudulent Transactions
Other Expenses Expenses on CIRP related fillings before:

Adjudicating Authority

Other authorities
CIRP related Litigation
Activity: Running Business
Expense Head Expense Sub-Head Amount of Expense(Rs.) Amount Ratified / Approved by CoC(Rs.) Remarks, if any
Essential Sevices Electricity
Water
Telecommunication Services
Information Technology services
Other essential services,if any
Other Sevices Other Supplies
Employees and Workmen
Security personnel services
Other Expenses,if any
Interim Finance Amount of Interim Finance
Expenses for Raising Interim Finance
Interest Payable on Interim Finance
Other Costs/Expenses,if any,directed related to CIRP
Expense Head Amount of Expense(Rs.) Amount Ratified / Approved by CoC(Rs.) Remarks, if any
Amount due to Prejudicially affected persons
Expense Head Expense Sub-Head Amount of Expense(Rs.) Amount Ratified / Approved by CoC(Rs.) Remarks, if any

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