Form D

[See rule 11(2)] APPLICATION FOR WITHDRAWAL OF INSOLVENCY RESOLUTION PROCESS [Under rule 11 (2) of the Insolvency and Bankruptcy (Application to Adjudicating Authority for Insolvency Resolution Process for Personal Guarantors) Rules, 2019] [Date] To The Adjudicating Authority [Address] From [Name and address of applicant] In the matter of [name of guarantor] Subject: Withdrawal of application for insolvency resolution process of [name of guarantor] admitted on ……. 1. [Name of applicant], had filed an application bearing [particulars of application, i.e, diary number/ case number] on [date of filing] before the Adjudicating Authority under [Section 94/ Section 95] of the Code. The said application was admitted by the Adjudicating Authority on [date] bearing [case number]. 2. I hereby withdraw the application bearing [particulars of application i.e, diary number/ case number] filed by[ name of applicant] before the Adjudicating Authority under [Section 94/ Section 95] of the Code. 3. The creditor(s) have approved the request for withdrawal of the application under rule 11. 4. I have been authorised by the applicant to file this application of withdrawal with the Adjudicating Authority.(strike out if not applicable) 5. The required bank guarantee towards estimated cost incurred in the process by the resolution professional is attached. (Signature of the applicant or person authorised by the applicant) Date: Place: [F. No. 30/21/2018-Insolvency Section] GYANESHWAR KUMAR SINGH, Jt. Secy.