Form B

(Under Regulation 5 of the Insolvency and Bankruptcy Board of India (Information Utilities) Regulations, 2017) THE INSOLVENCY AND BANKRUPTCY BOARD OF INDIA CERTIFICATE OF REGISTRATION NO. _ The Insolvency and Bankruptcy Board of India hereby grants/ renews this /the certificate of registration to/of _____[insert name and address] to act as an information utility in accordance with the Insolvency and Bankruptcy Code, 2016. The certificate of registration is valid from [insert start date] to [insert end date] and may be renewed. Sd/- (Name and Designation) (For and on behalf of Insolvency and Bankruptcy Board of India) Place: Date: 52[FORM C Under regulation 20 of the Insolvency and Bankruptcy Board of India (Information Utilities) Regulations, 2017. (Note: Information may be accepted in this Form with necessary modifications as the information utility deems fit.) A. Details relating to Creation of Debt Sl. No. Nature of information Particulars I II III Details of the user submitting information 1 Business date (The information will be as on date. For example, data of 30th April 2020 submitted even on a later date, say on 05th May 2020, will be as on the business date – 30th April 2020) 2 UIN (PAN) 3 Full Name (Please provide your First, Middle and Last name without salutations) 4 Relationship (Debtor/Creditor/ Guarantor/ Co-obligant / Security Provider / Assignee) 5 Date of Birth/ Date of incorporation 6 Communication address 7 PIN Code 8 Telephone No. 9 Mobile No. 10 Email ID-1 (for Submission acknowledgment, other submission related messages or any other general purpose message) 11 Email ID-2 (for Dispute alert sent to submitter) 12 Email ID-3 (for Default alert sent to submitter) Details of Other Parties to the Debt (Apart from the person submitting the debt)

Details of Parties (please add as many parties as may be applicable) 13 Relationship (Debtor/Creditor/ Guarantor/ Co-obligant / Security Provider / Assignee) 14 Party name (Please provide your First, Middle and Last name without salutations) 15 Registered / Permanent Address 16 Registered Address PIN Code 17 Communication address 18 Communication Address PIN Code 19 Party Type (Indian Entity, Resident Individual, Foreign Entity, NRI/Foreign Individual) 20 Legal Constitution (Public Ltd. company, Private Ltd. company, LLP, Proprietorship, Partnership, Entity Created by or under a Statute, Trust, HUF, Co-op Society, Association of Persons, Government, Self Help Group, Resident Individual, Non-Resident Foreign Company). 21 MSME Flag (Y/N) 22 MSME Sub-type (Micro, Small, Medium) 23 Industry Category 24 Date of Birth/ Date of incorporation 25 Corporate Identification Number (CIN/LLPIN) for registered corporate entities. 26 PAN 27 Customer ID 28 CKYC KIN 29 Contact Person Name 30 Contact Person’s Mobile No. 31 Alternative Number 32 Email id 33 Alternative Email ID Details of the Debt 34 Debt Reference Number 35 Old Debt Reference No. (Unique identifier of the debt, in case the debt has previously been recorded in any Information Utility) 36 Creditor Location (Creditor’s internal location code, where submitted by creditor) 37 Creditor Business Unit (Creditor’s internal business unit code, where submitted by creditor) 38 Creditor RM Email (Email of Creditor’s Relation Manager, for notification purpose) 39 Debt Contract Date (date of sanction, last renewal, debt acknowledgements, etc.) 40 Debt Start Date (Date of first disbursement or date of activation of the facility) 41 Sanction Reference No. 42 Sanction Currency 43 Sanctioned Amount 44 Drawing Power 45 Type of Debt (Financial, Operational) 46 Intermediary Status

(Yes, No) 47 Debt subtype 48 Funded Type Indicator (Funded, Non-fund) 49 Facility name 50 Repayment frequency (Monthly, Quarterly, Half yearly, Annual, On demand, Bullet, Rolling, Others) 51 Tenor of debt 52 Instalment Amount 53 Rate of interest 54 Lending arrangement (Sole Banking, Consortium, Multiple Banking Arrangement, Outside Multiple Banking, Outside Consortium, Others) 55 Currency of debt 56 Total Outstanding Amount 57 Principal Outstanding 58 Interest Outstanding 59 Other Charges Outstanding 60 Amount Overdue 61 Days Overdue (Number of days overdue as on business date of reporting. If no overdue, report zero value) 62 Asset Classification (Standard, Sub-standard, Doubtful, Loss) 63 SMA Category (0, 1, 2, N) 64 Account Closed Flag (Yes, No, Assigned) 65 Part-A Remarks (Any remarks that can be helpful for Other Parties during authentication) B. Details relating to Creation of Security on Debt (If not applicable, please write NA) 66 Date of creation of Security Interest 67 Type of Charge created (Mortgage, Hypothecation, Charge, Assignment, Pledge, Lien, Negative Lien, Guarantee, Asset Cover and such other charges ) 68 Assets type (Movable, Immovable, Intangible, Not Classified) 69 Security type (Nature of asset used as security as per list of values) 70 Security Category (Primary, Collateral) 71 Asset ID (identification number of asset on which charge is created) 72 Description of security 73 Value of security 74 Currency of Security 75 Date of valuation 76 ROC Charge ID (as registered with MCA, where applicable) 77 CERSAI Security Interest ID 78 Part-B Remarks (Any remarks that can be helpful for Other Parties during authentication)

C. Details relating to Default of Debt (If not applicable, please write NA) 79 Date of default 80 Total Outstanding Amount 81 Default amount 82 Days past due 83 Amount of last repayment 84 Date of last repayment 85 Date of filing of suit 86 Part-C Remarks (Any remarks that can be helpful for Other Parties during authentication) 87 Documents* uploaded as proof for Debt, Security and Default:- Debt: a. Copy of Loan Agreement (as revised from time to time) b. Repayment schedule (If in possession of the submitter) c. Balance Confirmation d. Balance Sheet and Cash Flow Statements (If the submitter is the Debtor) e. Any other documents relating to creation of debt/change in the terms of the debt 52[f. document showing latest acknowledgment of debt by the debtor] Security: a. Copy of the Security Deed b. Copy of the Valuation Report c. Proof of Registration with CERSAI d. Copy of the Certificate of Registration of Charge e. Any other document relating to creation of security Default: Any documents attached as a proof of default * Documents can be submitted at any stage, not necessarily along with the data in Form C.”] 52[FORM D* RECORD OF DEFAULT (Issued By information utility under sub- regulation (4) of regulation 21 of the Insolvency and Bankruptcy Board of India (Information Utilities) Regulations, 2017) This record of default is issued to the Financial/Operational Creditor ______ in respect of the default of debt as per details given below- (a) Name of Corporate Debtor: (b) Unique Debt Identifier Number: (c) Registered Address: (d) Total debt amount: (e) Default amount remaining: (f) Date of default: (g) Status of Authentication of default:

(Colour Code: Green or yellow or Red, as the case may be)

……………….(name of the information utility) is authorized to issue this record of default and has accordingly affixed its digital signature, as per the provisions of the Insolvency and Bankruptcy Code, 2016 read with Insolvency and Bankruptcy Board of India (Information Utilities) Regulations, 2017, Guidelines for Technical Standards for Performance of Core Services and Other Services and the Insolvency and Bankruptcy (Application to Adjudicating Authority) Rules, 2017. Date: Digital Signature of the Authorized Signatory Note: 1. Technical details may be inserted by the respective Information Utility 2. List of supportive annexures may be enclosed by the respective Information Utility 3. Other details/documents, if any, may be enclosed by the Information Utility *(Note: Information may be issued in this Form with necessary modifications as the information utility deems fit)]