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SCHEDULE FORM B - Jaypee Group

SCHEDULEFORM BPROOF OF CLAIM BY operational CREDITORS EXCEPT WORKMEN AND EMPLOYEES[Under Regulation 7 of the Insolvency and Bankruptcy Board of India (Insolvency Resolution Processfor Corporate Persons) Regulations, 2016][Date]ToThe Interim Resolution Professional/ Resolution Professional[Name of the Insolvency Resolution Professional/ Resolution Professional][Address as set out in public announcement]From[Name and address of the operational creditor]Subject: Submission of proof of ,[Name of the operational creditor], hereby submits this proof of claims in respect of the corporateinsolvency resolution process in the case of [name of corporate debtor]. The details for the same areset out OF operational CREDITOR NUMBER OF OPERATIONALCREDITOR(IF AN INCORPORATED BODY PROVIDEIDENTIFICATION NUMBER AND PROOF OFINCORPORATION.)

SCHEDULE FORM B PROOF OF CLAIM BY OPERATIONAL CREDITORS EXCEPT WORKMEN AND EMPLOYEES [Under Regulation 7 of the Insolvency and Bankruptcy Board of India (Insolvency Resolution Process

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