Specimen Affidavit of Creditor in Company Liquidation — Format 2026

   BEFORE THE HON'BLE NATIONAL COMPANY LAW TRIBUNAL, [Bench]
      (In the matter of liquidation of [Company] Pvt. Ltd.)
   / IN THE OFFICE OF THE LIQUIDATOR OF [Company] (In Liquidation)

        C.P. (IB) No. ____ / Liquidation No. ____ of 20__

In the matter of:
[Company Name] Private Limited (In Liquidation)     ... Corporate Debtor

               AFFIDAVIT OF PROOF OF DEBT (CREDITOR)

I, [Name of Deponent], S/o [___], aged [__] years, [Designation, e.g.
Director/Authorised Signatory] of [Name of Creditor Company / self],
having office/residence at [Full Address], do hereby solemnly affirm
and state on oath as under:

1.  That I am the [creditor / duly authorised signatory of the
    creditor, M/s ____] and am competent to swear this affidavit, and
    am acquainted with the facts of the case from the records
    maintained in the ordinary course of business.

2.  That [Company Name] Private Limited (the "Corporate Debtor / the
    Company in Liquidation") was ordered to be wound up / admitted
    into liquidation by order dated [DD/MM/YYYY] of this Hon'ble
    Tribunal, and Mr./Ms. [___] was appointed as the Liquidator.

3.  That the Company is justly and truly indebted to the
    deponent/creditor in the sum of ₹[amount] (Rupees [in words]
    only) as on [DD/MM/YYYY], the particulars whereof are:
       (a) Principal outstanding      : ₹[amount]
       (b) Interest @ [__]% up to date: ₹[amount]
       (c) Total claim                : ₹[amount]

4.  That the said debt arose out of [supply of goods / services
    rendered / loan advanced / unpaid invoices] under Invoice/
    Agreement No. [___] dated [DD/MM/YYYY], the documents in support
    of which are annexed as Annexure A-1 to A-[__].

5.  That the creditor holds [no security / the following security:
    ___] for the said debt, and the claim is submitted as [an
    operational / a financial / an unsecured] creditor.

6.  That the deponent has not received any part of the said sum,
    save ₹[amount] (if any), and the balance of ₹[amount] remains
    due and payable and is claimed in the liquidation.

7.  That no suit or other proceeding for recovery of the said debt is
    pending / the following proceeding is pending: [___].

8.  That the contents of this affidavit are true and correct and the
    claim is bona fide and genuine.

                          DEPONENT

                                          ____________________
                                             [Name of Deponent]

                        VERIFICATION

I, the above-named deponent, do hereby verify that the contents of
paragraphs 1 to 8 of this affidavit are true and correct to my
knowledge based on the records of the creditor, and nothing material
has been concealed therefrom.

Verified at [City] on this [__] day of [Month], 2026.

                                          ____________________
                                             DEPONENT

Solemnly affirmed before me by the deponent, identified to me, on
this [__] day of [Month], 2026, at [City].

                                          ____________________
                                          NOTARY PUBLIC / OATH COMMR.