Form F

[Under regulation 13 (2) (b) and 13 (2) (c) of the Insolvency and Bankruptcy Board of India (Insolvency Professionals) Regulations, 2016] To The Executive Director (IPE Division) Insolvency and Bankruptcy Board of India Subject: Information of cessation/joining of a Director / Partner in an insolvency professional entity. Sir / Madam, I, [Insert name], being duly authorised for the purpose, submit the following information in compliance with sub-regulation (2)(b) and/or (2)(c) of regulation 13 of the Insolvency and Bankruptcy Board of India (Insolvency Professionals) Regulations, 2016:- 106 Substituted by Notification No. IBBI/2019-20/GN/REG049, dated 25th October, 2019 (w.e.f. 25.10.2019).

A. Details of the IPE (a) Name of the IPE: (b) Date of Recognition by the Board: (c) Recognition Number: (c) E-mail address registered with the Board: (d) Name and Designation of Authorised Signatory: B. Details of director/partner who ceased to be a director/partner of the IPE Description Particulars Details of director/partner a. Name b. Registration No. as IP (if applicable) c. Date of registration (if applicable) d. E-mail address registered with the Board as IP (if applicable) Details of cessation a. Date of cessation as director/partner b. Whether ceased as Whole Time Director c. Reason of cessation (Resignation/Removal/any other) d. Date of filing of cessation with the concerned authority C. Details of director/partner who joined the IPE Description Particulars Details of director / partner a. Name b. Registration No. as IP (if applicable) c. Date of Registration (if applicable) d. E-mail address registered with the Board as IP (If applicable) Details of joining a. Date of Joining as director/partner b. Whether Joined as Whole Time Director c. Date of filing of joining with the concerned authority D. Composition of the Board / Partnership of the IPE before and after cessation/joining of the Director / Partner Composition (before cessation/joining) Composition (after cessation/joining) Name of Designation Status as an IP Name of Designation Status as an IP

Sl. No. the director/ partner (whole time director / director / partner, as the case may be) Yes / No If yes, IP Registration Number the director/ partner, as the case may be (whole time director / director / partner, as the case may be) Yes / No If yes, IP Registration Number (1) (2) (3) (4) (5) (6) (7) (8) (9) AFFIRMATION I, on behalf of [name of the IPE], hereby affirm that- (i) I am submitting the above information within seven days of the cessation or joining of partner or director, as the case may be, in IPE; (ii) None of the directors or partners, as the case may be, of the IPE is a partner or director of another IPE; and 2. I, on behalf of [name of the insolvency professional entity], hereby declare that all information contained in this form are complete and correct to the best of my knowledge and belief. Yours faithfully, Place: Date: ATTACHMENTS (Authorised Signatory) (Name)(Designation) (Name of the IPE) (Recognition Number of the IPE) 1. Affirmation of the director / partner (In Annexure I / II) ceasing or joining as director / partner of the IPE 2. Evidence of deposit / payment of fee, along with GST, as required under the regulation 13(2)(b), 13(2)(c) and 15, as the case may be. (Please note that a fee of rupees two thousand, plus GST as applicable, is payable in respect of cessation / joining of each director / partner). Annexure 1 To Form F [Under regulation 13 (2) (b) of the Insolvency and Bankruptcy Board of India (Insolvency Professionals) Regulations, 2016] To The Executive Director (IPE Division) Insolvency and Bankruptcy Board of India

Subject: Declaration on cessation of a Director / Partner of (Name of the IPE). Sir / Madam, I (name), hereby affirm that I have ceased to be a director / partner of the _ (name of IPE) bearing IPE recognition No. ______________with effect from (dd-mm-yyyy). I shall, however, remain liable for every act of omission or commission by the IPE when I was its director / partner. Yours faithfully, (Name of ex-Director / ex-Partner) Annexure 2 To Form F [Under regulation 13 (2) (c) of the Insolvency and Bankruptcy Board of India (Insolvency Professionals) Regulations, 2016] To The Executive Director (IPE Division) Insolvency and Bankruptcy Board of India Subject: Affidavit on joining as Director / Partner of (Name of IPE) Sir / Madam, I (name) hereby affirm that I have joined as a director / partner (name of an IPE) bearing IPE recognition no. with effect from (dd-mm-yyyy). I am not a director / partner in any other IPE. Yours faithfully, (Name of Director / Partner).]

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