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]

¹Hkkx IIμ[k.M 3(i)] Hkkjr dk jkti=k % vlk/kj.k 11 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 purpose 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 Nominal share capital and the paid-up share capital of the financial service provider and/or details of 4 | 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 financial creditor Name in block letters Position with or in relation to the financial creditor 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