FIRST SCHEDULE
FORM CIR-1
Rule 11(4)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
NOTICE OF RENEWAL OF ORIGINATING SUMMONS
 
Renewed for ……… [no. of months] from the ……… day of …………………. [month] ……… [year] by an order of Court dated the ……… day of ………… [month] …… [year].
 
Dated this ….. day of …………………. [month] ……. [year]
 
…………………. [Name of solicitor]
Solicitor for the ………………… [Name of Applicant]
 
FORM CIR-2
Rule 39(a)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
MEMORANDUM OF ADVERTISEMENT
OR GAZETTING
(Title)
Name of paper
Date of issue
Date of filing
Nature of order, etc.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Signed (a) …………………………………
 
 
(a)To be signed by the person responsible for the publication in the Gazette or newspaper (or the person’s solicitor).
FORM CIR-3
Rule 48(1)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
IN THE GENERAL DIVISION OF THE HIGH COURT OF THE REPUBLIC OF SINGAPORE
O.S. No.                         )
of [year]                         )
(Seal)
 
In the Matter of the Insolvency, Restructuring and Dissolution Act 2018 (Act 40 of 2018)
 
AND
 
In the Matter of ………………….… [name of company]
Applicant.
 
ORIGINATING SUMMONS
Let all parties concerned attend before the Judge on ……………………… [date] at …… [time], on the hearing of an application by the applicant that:
(1)………..…… [name of company] be placed under the judicial management of a judicial manager pursuant to an order to be made by the Court under the provisions of Part 7 of the Insolvency, Restructuring and Dissolution Act 2018; and
(2)………………… [name of judicial manager] be appointed as judicial manager of the applicant.
 
Dated this ….. day of …………………. [month] ……. [year]
 
Registrar.
 
This summons is taken out by ………………… [name of solicitor’s firm] solicitor for the applicant whose address is ………………………………………………… [solicitor’s firm’s address]
 
Note:This summons must be served together with a supporting affidavit of the application.
 This summons may not be served more than 6 calendar months after the above date unless renewed by order of the Court.
 
[S 1039/2020 wef 02/01/2021]
FORM CIR-4
Rule 48(1)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
AFFIDAVIT SUPPORTING APPLICATION FOR
JUDICIAL MANAGEMENT ORDER
 
Name of Company: ………………………………….
Unique Entity No. / Registration No.: …………………………….
 
I, ……………………………..……. [name of person making supporting affidavit] of …………………………………… [person’s address] *make oath / affirm and say as follows:
1.  ………………………………………..………………[name of company] (hereinafter called “the company”) was on the …….. day of ……………. [month] ……. [year] incorporated under the (a) ……………………….
2.  The registered office of the company is at …………………………………..…………………………………………..……………………………………………[company address]
3.  The issued capital of the company is $…….………. The amount of the capital paid‑up or credited as paid up is $……….…… and the amount of capital unpaid is $……….(b)
4.  The objects for which the company was established are as follows:
To ……………………………………….….…………. and other objects set forth in the memorandum of association thereof.
5.  The company *is / is likely to become unable to pay its debts and there is a reasonable probability of rehabilitating the company or of preserving all or part of its business as a going concern or that otherwise the interests of creditors would be better served than by resorting to a winding up.
(Here set out in paragraphs the facts on which the applicant relies to support his application).
6.  The applicant therefore humbly prays for an Order in Terms of this application as follows:
(a)that the company may be placed under the judicial management of a judicial manager pursuant to an order to be made by the Court under the provisions of Part 7 of the Insolvency, Restructuring and Dissolution Act 2018;
(b)………………… [name of judicial manager] be appointed as judicial manager of the company; and
(c)that such further order be made as the Court deems just.
 
Sworn or affirmed at, etc.
 
(a)State the law of jurisdiction where the company is incorporated.
(b)To complete where applicable.
*Delete where inapplicable
 
FORM CIR-5
Rule 50(1)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
NOTICE OF APPLICATION FOR
JUDICIAL MANAGEMENT ORDER
 
Name of Company: ………………………………….
Unique Entity No. / Registration No.: …………………………….
 
Notice is hereby given that an application for placing the abovenamed company under the judicial management of a judicial manager by the General Division of the High Court was, on the ……… day of ………………… [month] …… [year], filed by the company or its directors *pursuant to a resolution of its members or the board of directors / by …………………… [name of creditor] of ………………………. [creditor’s address], a [contingent or prospective] creditor or creditors and that the said application is directed to be heard before the Court at ……….… a.m. / p.m. on the ………… day of ………………….. [month] …… [year], and ……………… [name of proposed judicial manager] of ……………………………..…. [proposed judicial manager’s firm’s name] has been nominated as the judicial manager; and any person who intends to oppose the making of an order under section 91(6)(b) or the nomination of a judicial manager under section 91(3)(d) may appear at the hearing or by his solicitor for that purpose; and a copy of the application and its supporting affidavit will be furnished to any creditor or member of the company requiring them by the undersigned on payment of the reasonable charge.
 
The applicant’s address is …………………………………………………………….........
……………………..………..………..……..……..…..…….…….…..……………….……….….……
The applicant’s solicitor is………….……………….… [name of solicitor’s firm] of …………………………………………………………………….… [solicitor’s firm’s address]
Signed (a) …………………………………
Note:  Any person who intends to appear at the hearing of the application must serve on or send by post to (b) ………………………….….………… notice in writing of his intention so to do. The notice must state the name and address of the person, or if a firm, the name and address of the firm, and must be signed by the person or firm, or his or their solicitor (if any). Unless otherwise directed by the Court, the notice must be served and, if sent by post, must be posted in such sufficient time as in the ordinary course of post to reach (b) at least 3 clear working days before the ……….……. day of ………………. [month] …… [year] (the day before the day appointed for the hearing of the application).
 
(a)To be signed by the solicitor to the applicant or by the applicant if he has no solicitor.
(b)Solicitor or applicant, as the case may be.
*Delete where inapplicable
[S 1039/2020 wef 02/01/2021]
FORM CIR-6
Rule 51(2)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
AFFIDAVIT OF SERVICE OF APPLICATION FOR
JUDICIAL MANAGEMENT ORDER
 
Name of Company: ………………………………….
Unique Entity No. / Registration No.: …………………………….
 
I, …………………………….. [name of declarant] of ……..………………… [declarant’s address], Singapore *make oath / affirm and say as follows:
1.  (In the case of service of the application on a company by leaving it with a member, officer or employee at the registered office.)
That I did on the ……. day of …..….. [month] …..… [year] serve the abovenamed company with the abovementioned application and its supporting affidavit by delivering to and leaving with ………………………………… [name and description] a member (or officer) (or employee) of the company a copy of the abovementioned application and supporting affidavit, duly sealed with the seal of the Court, at …….….………..….……..….…..………….... [company’s registered office], at ….…... a.m. / p.m.
2.  (In the case of no member, officer or employee of the company being found at the registered office.)
That I did on the ..…… day of ……….... [month] .…….. [year] having failed to find any member, officer or employee of the abovenamed company at …..………… [company’s registered office], leave there a copy of the abovementioned application and its supporting affidavit, duly sealed with the seal of the Court,
at ….. a.m. / p.m. [add with whom such documents were left, or where, e.g. affixed to door of office, or placed in letter box, or otherwise.]
3.  (In the case of directions by the Court as to the member or members of the company to be served.)
That I did on the …… day of ………. [month] …….. [year], serve ……………. [name or names and description] with a copy of the abovementioned application and its supporting affidavit, duly sealed with the seal of the Court, by delivering the application and affidavit personally to the said …….……….…… [name of place], at …………………………………. [address of place] at …….. a.m. / p.m.
4.  The application and its supporting affidavit are now produced and shown to me, and collectively marked ‘A’.
 
Sworn or affirmed at, etc.
*Delete where inapplicable
 
FORM CIR-7
Rule 53(3)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
NOTICE OF INTENTION TO APPEAR AT APPLICATION FOR
JUDICIAL MANAGEMENT ORDER
Name of Company: ………………………………….
Unique Entity No. / Registration No.: ………………………….
 
Take notice that ………………………………………………….………………………………… of ……..…………………………………………………………….………… (a)
*creditor (creditors) for $………………….….. of the abovenamed company being a majority in number and value of the creditors *being a person (persons) who *has (have) appointed /*is (are) entitled to appoint a receiver and manager intend(s) to appear at the hearing of the application advertised to be heard on the .............. day of ………………… [month] …… [year] and to oppose
*the nomination of ……………………. as the judicial manager made by the applicant in the application pursuant to section 91(3)(d) of the Insolvency, Restructuring and Dissolution Act 2018.
*the making of a judicial management order pursuant to section 91(6)(b) of the Insolvency, Restructuring and Dissolution Act 2018.
 
Signed (b) …………………………
 
The address of the *person / solicitor’s firm is:
……………………………………………………………………………………………………………….
 
(a)State the full name and address.
(b)To be signed by the person or his solicitor.
*Delete where inapplicable
FORM CIR-8
Rule 54(1)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
LIST OF PARTIES INTENDING TO APPEAR
AT THE HEARING OF APPLICATION FOR
JUDICIAL MANAGEMENT ORDER
Name of Company: ………………………………….
Unique Entity No. / Registration No.: …………………………….
 
The following are the names of those who have given notice of their intention to attend the hearing of the application herein, on the ……….… day of ..……………… [month] …… [year].
1.Name:
 Address:
 Name and Address of Solicitors of party who has given notice:
 Amount of Debt [Creditor]:
 Opposing:
 Supporting:
 
2.Name:
 Address:
 Name and Address of Solicitors of party who has given notice:
 Amount of Debt [Creditor]:
 Opposing:
 Supporting:
 
3.Name:
 Address:
 Name and Address of Solicitors of party who has given notice:
 Amount of Debt [Creditor]:
 Opposing:
 Supporting:
[Signature] …………………...
[Name of *applicant / solicitor for the applicant]
*Delete where inapplicable
 
FORM CIR-9
Rule 58
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
ORDER OF COURT FOR JUDICIAL MANAGEMENT
(Title)
The ……… day of …………………. [month] ……….. [year]
Upon the application of ..……..…..…….……….………………… [name of applicant] on the ……… day of ….…….…..….……… [month] …..…… [year] being filed with the Court, and upon hearing the solicitor for the applicant, and the solicitor for ………………………………… [name of party other than the applicant], and upon reading the application, an affidavit of ……………………..…… [name of applicant] filed, supporting the application, an affidavit of …………………………… [name of party other than the applicant], filed, the ……… day of …………… [month] ……..… [year] the Gazette of the ………. day of ………….…… [month] ……… [year] the …………………………….….. newspaper of the ……….. day of …………….. [month] ……… [year] [enter any other papers], each containing an advertisement of the application [enter any other evidence], this Court ordered:
(1)that the abovenamed company be placed under the judicial management of a judicial manager under Part 7 of the Insolvency, Restructuring and Dissolution Act 2018 for the following purpose(s): …………………………….….. [state the purpose];
(2)that ….……….………….……….….. [name of judicial manager] be appointed judicial manager of the company; and
(3)that the affairs, business and property of the company be managed by the judicial manager during the period in which this Order is in force.
 
Note: It will be the duty of such of the persons as are liable to make out or concur in making out a statement of affairs as the judicial manager may require, to attend on him at such time and place as he may appoint and to give him all information he may require.
 
FORM CIR-10
Rule 61
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
AFFIDAVIT OF DELIVERY OF NOTICES OF MEETING
Name of Company: ………………………………….
Unique Entity No. / Registration No.: ………………………….
 
I, …………………………..[name of deponent] a (a) ……………………………………, *make oath / affirm and say as follows:
1That I did on the ……………. day of …………….………… [month] ……… [year] send to each creditor mentioned in the company’s statement of affairs a notice of the time and the place of the (b) ……………………………. in the form hereunto annexed marked ‘A’.
2That the notices for creditors were addressed to the creditors respectively, according to their respective names and addresses appearing in the statement of affairs of the company.
3That the said notices were delivered *personally / by prepaid registered post / by electronic means in accordance with section 442 of the Insolvency, Restructuring and Dissolution Act 2018.
 
Sworn or affirmed, etc.
 
(a)State the description of the deponent.
(b)Insert here “general” or “adjourned general” or “first” meeting of creditors.
*Delete where inapplicable
FORM CIR-11
Rule 63(1)(a)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
IN THE GENERAL DIVISION OF THE HIGH COURT OF THE REPUBLIC OF SINGAPORE
CWU O.S. No.          )
of [year]                   )
 
(Seal)
 
In the Matter of the Insolvency, Restructuring and Dissolution Act 2018 (Act 40 of 2018)
 
AND
 
In the Matter of …………………………… [name of company]
Applicant.
 
ORIGINATING SUMMONS
Let all parties concerned attend before the Judge on ………………… [date] at …… [time] on the hearing of an application by the applicant that:
(1)a winding up order be made against the applicant; and
(2)………………… [name of liquidator] be appointed as liquidator of the applicant.
 
Dated this ….. day of ……………. [month] …… [year]
 
Registrar.
[S 1039/2020 wef 02/01/2021]
This summons is taken out by ………………… [name of solicitor’s firm], solicitor for the applicant whose address is …………………………………………………………….. [solicitor’s firm’s address]
 
Note:This summons must be served together with a supporting affidavit of the application.
 This summons may not be served more than 6 calendar months after the above date unless renewed by order of the Court.
FORM CIR-12
Rule 63(1)(b)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
IN THE GENERAL DIVISION OF THE HIGH COURT OF THE REPUBLIC OF SINGAPORE
CWU O.S. No.          )
of [year]                    )
(Seal)
 
In the Matter of the Insolvency, Restructuring and Dissolution Act 2018 (Act 40 of 2018)
 
AND
 
In the Matter of ………………………………[name of company]
 
Between
 
Plaintiff.
 
and
 
Defendant.
ORIGINATING SUMMONS
Let all parties concerned attend before the Judge on ……………….……. [date] at …… [time] on the hearing of an application by the plaintiff that:
(1)a winding up order be made against the defendant;
(2)………………… [name of liquidator] be appointed as liquidator of the defendant; and
(3)(if appropriate) the costs of the proceedings be taxed, if not fixed or agreed and be paid to the plaintiff out of the assets of the defendant.*
 
Dated this ….. day of ……………. [month] …… [year]
Registrar.
[S 1039/2020 wef 02/01/2021]
This summons is taken out by ………………… [name of solicitor’s firm], solicitor for the applicant whose address is …………………………………………………………….…. [solicitor’s firm’s address]
 
Note: This summons must be served together with a supporting affidavit of the application.
 This summons may not be served more than 6 calendar months after the above date unless renewed by order of the Court.
 If a defendant does not attend by his solicitor at the time and place abovementioned such order will be made as the Court may think just and expedient.
* If not appropriate, to draft in the costs order prayed for.
 
FORM CIR-13
Rule 68(4)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
AFFIDAVIT OF SERVICE OF
WINDING UP APPLICATION AND SUPPORTING AFFIDAVIT ON MEMBERS, OFFICERS OR EMPLOYEES
(Title)
 
In the matter of a winding up application dated ......... day of ............................ [month] ……… [year] I, ………………………… [name of declarant] of ………….……………………….………. [declarant’s address], *make oath / affirm and say as follows:
 
1.  [In the case of service of winding up application on a company by leaving it with a member, officer or employee at the registered office, or if no registered office, at the principal or last known principal place of business of the company.]
 
That I did on the ......... day of ............................ [month] ……… [year] serve the abovenamed company with the abovementioned winding up application and supporting affidavit by delivering to and leaving with ………………………… [name and description] a member (or officer) (or employee) of the company a copy of the abovementioned winding up application and supporting affidavit, duly sealed with the seal of the Court, at …………………………………. [office or place of business as aforesaid], at …… a.m. / p.m.
 
2.  [In the case of no member, officer or employee of the company being found at the registered office or place of business.]
 
That I did on the ............ day of ............................ [month] ……… [year] having failed to find any member, officer or employee of the abovenamed company at ………………………… [registered office or place of business], leave there a copy of the abovementioned winding up application and supporting affidavit, duly sealed with the seal of the Court, at ……….. a.m. / p.m. [add with whom such sealed copy was left, or where, e.g. affixed to door of offices, or placed in letter box, or otherwise.]
 
3.  [In the case of directions by the Court as to the member or members of the company to be served.]
 
That I did on the ............ day of ............................ [month] ……… [year] serve ………………………… [name or names and description] with a copy of the abovementioned winding up application and supporting affidavit, duly sealed with the seal of the Court, by delivering the winding up application and supporting affidavit personally to the said .................................... [name of place], at .................................... [address of place] at ……….. a.m. / p.m.
 
4.  The winding up application and supporting affidavit are now produced and shown to me, and collectively marked ‘A’.
 
Sworn or affirmed at, etc.
 
*Delete where inapplicable
FORM CIR-14
Rule 68(5)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
AFFIDAVIT OF SERVICE OF
WINDING UP APPLICATION ON LIQUIDATOR
(Title)
 
In the matter of an application dated ...................., for winding up the above company by the Court.
 
I, ………………………… [name of declarant], of ............................................. [declarant’s address], *make oath / affirm and say:
 
That I did, on the ........... day of ........................... [month] ….…... [year] serve ………………………………… [name and description] the liquidator of the abovenamed company, with a copy of the abovementioned winding up application and supporting affidavit, duly sealed with the seal of the Court, by delivering the copy of the winding up application and supporting affidavit personally to the liquidator’s office, at …………………………………………. [address of place] at ………. a.m. / p.m.
 
The said winding up application and supporting affidavit are now produced and shown to me, and collectively marked ‘A’.
 
Sworn or affirmed at, etc.
 
*Delete where inapplicable
 
FORM CIR-15
Rule 70(3)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
NOTICE OF INTENTION TO
APPEAR ON WINDING UP APPLICATION
Name of Company: ………………………………….
Unique Entity No. / Registration No.: ………………………………
 
Take notice that ……..…….….…………………………………………………………………… of (a) ……..…………………..………….……………………………………………… a *creditor for $...……………………… of …………………………………………… / contributory holding (b) ……………………… shares in the above company intends to appear on the hearing of the winding up application advertised to be heard on the ......... day of ............................ [month] …..….. [year] and to support (or oppose) such winding up application.
 
Signed (c) ………………….
 
The address of the *person / solicitor’s firm is:
…………………………………………………………………………………………………….……….
…………………………………………………………………………………………………….……….
 
(a)State the full name, or if a firm, the name of the firm and address.
(b)State number and class of shares held.
(c)To be signed by the person, firm or his solicitor.
*Delete where inapplicable
FORM CIR-16
Rule 71(1)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
LIST OF PARTIES INTENDING TO ATTEND
THE HEARING OF A WINDING UP APPLICATION
Name of Company: ………………………………….
Unique Entity No. / Registration No.: ………………………………….
 
The following are the names of those who have given notice of their intention to attend the hearing of the application herein, on the ……….…day of ………………. [month] …… [year]
1.Name:
 Address:
 Name and Address of Solicitors of party who has given notice:
 Amount of Debt [Creditor]:
 Number of Shares [Contributory]:
 Opposing:
 Supporting:
 
2.Name:
 Address:
 Name and Address of Solicitors of party who has given notice:
 Amount of Debt [Creditor]:
 Number of Shares [Contributory]:
 Opposing:
 Supporting:
 
3.Name:
 Address:
 Name and Address of Solicitors of party who has given notice:
 Amount of Debt [Creditor]:
 Number of Shares [Contributory]:
 Opposing:
 Supporting:
Signature: …………………...
…………………...
Name of *applicant / solicitor
for the applicant
*Delete where inapplicable
 
FORM CIR-17
Rule 76(1)(a)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
NOTICE TO LIQUIDATOR OF ORDER
PRONOUNCED ON APPLICATION FOR WINDING UP
(Title)
 
To the Liquidator
 
[Address]
 
Order pronounced this ......... day of ............................ [month] …… [year] by Justice ............................ [name of Judge] on the application for winding up of the undermentioned company under the Insolvency, Restructuring and Dissolution Act 2018 and for the appointment of ............................ [name of liquidator] as liquidator.
Name of company
:
 
Unique Entity No. /
Registration No.
:
 
Registered office of company
:
 
Applicant’s solicitor
:
 
Date of filing of winding up application
:
 
FORM CIR-18
Rule 76(1)(b)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
NOTICE OF WINDING UP ORDER
In the matter of ............................ [name of company].
 
Winding up Order made ............................ [month] …… [year]
 
Name and address of liquidator ……………………………………………….………………..
…………………………………………………………………………………………………….…………
 
Applicant or his solicitor.
 
Note:
(a)All creditors of the abovenamed company should file their proof of debt with the liquidator who will be administering all affairs of the company.
FORM CIR-19
Rule 76(3)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
ORDER FOR WINDING UP BY THE COURT
(Title)
 
The ......... day of ............................ [month] ……. [year]
 
Upon the application of …………. [name of applicant] a creditor (or contributory) of the abovenamed company, on the ......... day of ............................ [month] …………… [year] preferred unto the Court, and upon hearing the solicitor for the applicant, and ............................ for ............................ [insert relevant details], and upon reading the winding up application, an affidavit of ................................................................................. [name of applicant], filed, and ……………………………. [name of other parties] supporting the winding up application, an affidavit of …………………………………. [name of other parties], filed the ......... day of …………… [month] …… [year], the Gazette of the ......... day of ................. [month] …… [year], the newspaper of the ......... day of ........... [month] …… [year] [enter any other papers], each containing an advertisement of the winding up application [enter any other evidence], this Court do order:
(a)that the company be wound up by the Court under section [   ] of Part [   ] of the Insolvency, Restructuring and Dissolution Act 2018; and
(b)that ............................ [name of liquidator] be appointed (provisional) liquidator of the company.
(c)(if appropriate) the costs of the proceedings be taxed, if not fixed or agreed and be paid to the plaintiff out of the assets of the defendant.*
 
Note: It will be the duty of such of the persons as are liable to make out or concur in making out a statement of affairs as the (provisional) liquidator may require, to attend on him at such time and place as he may appoint and to give him all information he may require.
*Delete where inapplicable
FORM CIR-20
Rule 78
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
ORDER APPOINTING PROVISIONAL LIQUIDATOR
AFTER MAKING OF WINDING UP APPLICATION
AND BEFORE ORDER TO WIND UP
(Title)
 
Upon the application of ................................... [name of applicant], and upon reading, ................................... [insert relevant details], the Court do hereby appoint ................................... [name of liquidator] to be provisional liquidator of the abovenamed company until the making of a winding up order herein or until further order. The duties to be performed by the provisional liquidator are as follows:
 
The nature and description of the property of which the provisional liquidator is ordered to take possession is as follows:
…………………………………………………………………………………………………….…………
…………………………………………………………………………………………………….…………
FORM CIR-21
Rule 79(1)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
NOTICE OF APPOINTMENT
AND SITUATION OF OFFICE OF LIQUIDATOR(S)
 
Name of Company: ………………………………….
Unique Entity No. / Registration No.: ………………………………….
 
Notice is hereby given that *Mr. / Ms. .…………...……… [name of liquidator] of …………..……………..… [name of liquidator’s firm], NRIC / Passport No. …………, has been appointed as liquidator of the abovenamed company pursuant to an Order of Court on the ……… day of …………………..… [month] …… [year].
 
The details of the liquidator’s office address are as follows:
…………………………………………………………………………………………………….…………
…………………………………………………………………………………………………….…………
 
Dated this ….. day of …………………..… [month] …… [year].
 
……………………….
Liquidator
*Delete where inapplicable
FORM CIR-22
Rule 79(2)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
NOTICE OF CHANGE IN SITUATION
OF OFFICE OF LIQUIDATOR(S)
 
Name of Company: ………………………………….
Unique Entity No. / Registration No.: ………………………………….
 
Notice is hereby given that the address of *Mr. / Ms. .……...……… [name of liquidator] of …………………..………… [name of liquidator’s firm], NRIC / Passport No. …………….., who is the appointed Liquidator of the abovenamed company, has been changed to the following on the ……… day of ………..…………..… [month] …… [year]:
 
The details of the Liquidator’s new office address are as follows:
…………………………………………………………………………………………………….…………
…………………………………………………………………………………………………….…………
 
Dated this ….. day of …………………..… [month] …… [year].
 
……………………….
Liquidator
*Delete where inapplicable
FORM CIR-23
Rule 80(2)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
REPORT OF RESULT OF MEETING OF
CREDITORS OR CONTRIBUTORIES
 
In the matter of …………………………………. [name of company]
I, …………………..… [name of person], the Official Receiver (or, as the case may be) chairman of a meeting of the creditors (or contributories) of the abovenamed company summoned by advertisement dated the ……… day of …………………..… [month] ……. [year], and held on the ..……… day of ……..……………..… [month] ...... [year] at ……… a.m. / p.m. in the ……………… [place of meeting], do hereby report to the Court the result of such meeting as follows:
The meeting was attended, either personally or by proxy, by ……… [no. of creditors] creditors whose proofs of debt against the said company were admitted for voting purposes, amounting to the value of $…………..; or by ……… contributories, holding in the whole ……… [no. of shares] share in the company, and entitled respectively by the regulations of the company to the number of votes hereinafter mentioned.
The question submitted to the meeting was, whether the creditors (or contributories) of the company wished that (here state proposal submitted to the meeting).
The meeting was unanimously of opinion that the proposal should (or should not) be adopted: (or the result of the voting upon such question was as follows:) (a)
Resolutions at meetings
Voting on resolutions
For
Against
 
No.
Amount.
No.
Amount.
(State the substance of any resolutions passed and give names of Committee of Inspection (if any) and amount of their proofs if Creditors or shares if Contributories.)
Creditors -
 
 
 
 
 
No. of Shares
Votes
No. of Shares
Votes
Contributories -
 
 
 
 
Dated this ….. day of …………………..… [month] ............... [year].
 
…………………..…
Chairman
 
(a)To set out the majorities by which the respective resolutions were carried.
FORM CIR-24
Rule 80(6)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
NOTICE OF APPOINTMENT
OF LIQUIDATOR
 
In the matter of .............................. [name of company]
 
By Order of the ..............., dated the ............... day of ............... [month] ............... [year], *Mr. / Ms. ............................. [name of liquidator] of .............................. [name of liquidator’s firm] has been appointed liquidator of the abovenamed company with (or without) a committee of inspection.
 
Dated this ..... day of ............... [month] ............... [year].
 
*Delete where inapplicable
FORM CIR-25
Rule 80(8)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
ADVERTISEMENT OF APPOINTMENT
OF LIQUIDATOR
 
In the matter of .............................. [name of company]
 
By Order of the ............... , dated the ............... day of ............... [month] ............... [year], *Mr. / Ms. .............................. [name of liquidator] of .............................. [name of liquidator’s firm] has been appointed liquidator of the abovenamed company with (or without) a committee of inspection.
 
Dated this ..... day of ............... [month] ............... [year].
 
*Delete where inapplicable
FORM CIR-26
Rule 84(2)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
REPORT OF RESULT OF MEETING OF
CREDITORS OR CONTRIBUTORIES
 
In the matter, …………………………………. [name of company]
I, …………………..… [name of liquidator], the liquidator (or, as the case may be) chairman of a meeting of the creditors (or contributories) of the abovenamed company summoned by advertisement dated the ……… day of …………………..… [month] ……. [year], and held on the ..……… day of ……..……………..… [month] .......... [year] at ………… a.m. / p.m. in the ……………… [place of meeting], do hereby report to the Court the result of such meeting as follows:
The meeting was attended, either personally or by proxy, by ……… [no. of creditors] creditors whose proofs of debt against the said company were admitted for voting purposes, amounting to the value of $…………..; or by ……… contributories, holding in the whole ……… [no. of shares] share in the company, and entitled respectively by the regulations of the company to the number of votes hereinafter mentioned.
The question submitted to the meeting was, whether the creditors (or contributories) of the company wished that (here state proposal submitted to the meeting).
The meeting was unanimously of opinion that the proposal should (or should not) be adopted: (or the result of the voting upon such question was as follows:) (a)
Resolutions at meetings
Voting on resolutions
For
Against
 
No.
Amount.
No.
Amount.
(State the substance of any resolutions passed and amount of their proofs if Creditors or shares if Contributories.)
Creditors -
 
 
 
 
 
No. of Shares
Votes
No. of Shares
Votes
Contributories -
 
 
 
 
Dated this ….. day of …………………..… [month] ............... [year].
 
…………………..…
Chairman
 
(a)To set out the majorities by which the respective resolutions were carried.
FORM CIR-27
Rule 89
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
NOTICE OF MEETING (GENERAL FORM)
 
Name of Company: ………………………………….
Unique Entity No. / Registration No.: ………………………………….
 
Notice is hereby given that a meeting of creditors (or contributories) in the above matter will be held at ……. [place of meeting] on the ….. day of …………….. [month] …….. [year] at …….. a.m. / p.m.
 
Agenda
 
(a)
 
Dated this ….. day of ………………… [month] ………. [year].
 
Signed (b) …………….……..
 
Forms of general and special proxies are enclosed herewith. Proxies to be used at the meeting must be lodged not later than ………… a.m. / p.m. on the ……………….. day of ………….. [month] ……... [year].
 
(a)Insert purpose for which meeting called.
(b)“Liquidator” or “Official Receiver”.
FORM CIR-28
Rule 95(5)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
LIST OF CREDITORS ASSEMBLED
TO BE USED AT EVERY MEETING
(Title)
 
Meeting held at ………………………………………..…. [place of meeting] this ……. day of……………….. [month] ………….. [year].
Number
Name of creditors present or represented
Amount of proof
1
 
 
2
 
 
3
 
 
4
 
 
5
 
 
6
 
 
7
 
 
8
 
 
9
 
 
 
Total number of creditors
present or represented.
 
FORM CIR-29
Rule 96(2)(a)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
NOTICE OF ADJOURNMENT OF MEETING
 
Name of Company: ………………………………….
Unique Entity No. / Registration No.: …………………………….……..….
 
Notice is hereby given that the (a) ………. meeting of (b) ………………… in the above matter was held at ………….. [place of meeting] on the …... day of …………… [month] …….. [year] at …….. a.m. / p.m.; but it appearing that (c) ………………. the meeting was adjourned until the ……….. day of ………………. [month] …….…. [year] at ………… a.m. / p.m. then to be held at the same place.
 
…………………..…
Chairman
 
(a) “First” or as the case may be.
(b) Insert “creditors” or “contributories”, as the case may be.
(c) State reason for adjournment.
FORM CIR-30
Rule 104(1)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
GENERAL PROXY
(Title)
 
I, (a) ………………….. of ………………….. [address of person or firm], a creditor [or contributory] hereby appoint (b) ………………….. as (c) ………………… general proxy to vote at the meeting of creditors (or contributories) to be held in the above matter on the ……. day of ……………. [month] ……….[year], or at any adjournment thereof.
 
Dated this ….. day of ………………. [month] ……… [year]
 
(Signature / Common seal) (d) ……………………
 
(Signature) (e) ……………………
Witness: ……………………………
 
NOTES
1.  The person appointed general proxy must be either the Official Receiver or a person in the regular employ of the creditor [or contributory].
2.  The proxy must be lodged with the liquidator not later than the time named for that purpose in the notice convening the meeting at which it is to be used.
3.  This instrument appointing a proxy or proxies must be under the hand of the appointor or of his attorney duly authorised in writing. Where the instrument appointing a proxy or proxies is executed by a corporation, it must be executed either under its seal or under the hand of any officer or attorney duly authorised.
(a)If a firm writes “We” instead of “I”, and set out the full name of the firm.
(b)Insert “Mr. or a clerk, manager, etc., in my regular employ”, in which case the standing of the person appointed must be clearly set out, or “the Official Receiver in the above matter”.
(c)“My” or “our”.
(d)If a firm, sign the firm’s trading title, and add “by A.B., a partner in the firm”.
(e)The signature of the creditor or contributory appointing a proxy must not be attested as witness by the person nominated as proxy.
 
FORM CIR-31
Rule 104(2)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
SPECIAL PROXY
(Title)
 
I, (a) ………………… of …………………………[address of person or firm], a creditor (or contributory), hereby appoint (b) ……………………. as (c) ……………..………. proxy at the meeting of creditors (or contributories) to be held on the ……………… day of ………………. [month] ………..… [year], or at any adjournment thereof, to vote (d) ………………………………………...
 
Dated this ….. day of ………………. [month] ……… [year]
 
(Signature / Common Seal) (e) ……………………..
 
(Signature) ……………………..
Witness: …………………………..
 
NOTES
 
1.  A creditor (or contributory) may give a special proxy to any specified meeting or adjournment thereof on all or any of the following matters:
(a)for or against the appointment or continuance in office of any specified person as liquidator or as member of the committee of inspection; and
(b)on all questions relating to any matter, other than those above referred to, arising at a specified meeting or adjournment thereof.
2.  The proxy must be lodged with the Official Receiver or liquidator not later than the time named for that purpose in the notice convening the meeting at which it is to be used.
3.  This instrument appointing a proxy or proxies must be under the hand of the appointor or of his attorney duly authorised in writing. Where the instrument appointing a proxy or proxies is executed by a corporation, it must be executed either under its seal or under the hand of any officer or attorney duly authorised.
 
(a)If a firm writes “We” instead of “I”, and set out the full name of the firm.
(b)Insert “Mr. or a clerk, manager, etc., in my regular employ”, in which case the standing of the person appointed must be clearly set out, or “the Official Receiver in the above matter”.
(c)“My” or “our”.
(d)Insert the word “for” or the word “against”, as the case may require, and specify the particular resolution.
(e)If a firm, sign the firm’s trading title and add “by A.B., partner in the firm”.
FORM CIR-32
Rule 114(3)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
NOTICE TO CONTRIBUTORIES OF APPOINTMENT TO SETTLE
LIST OF CONTRIBUTORIES
(Title)
 
Take notice that I, …………………..…, the Liquidator of the abovenamed company, have determined the ……… day of …………………..… [month] ……. [year], at ……. a.m. / p.m., at …………………..… [place of meeting] to settle the list of the contributories of the abovenamed company, made out by me, pursuant to the Insolvency, Restructuring and Dissolution Act 2018 and the rules made thereunder, and that you are included in such list in the character and for the number of shares (or extent of interest) stated below; and if no sufficient cause is shown by you to the contrary at the time and place aforesaid, the list will be settled, including you herein.
 
Dated this ….. day of …………………..… [month] …… [year]
 
To:
…………………………………. [name of contributory]
 
…………………………………. [address of contributory]
………………………..
Liquidator
No.
Name
Address
Description
In what character included (a)
Number of shares (or extent of interest)
 
 
 
 
 
 
 
 
 
 
 
 
(a) In own right, being representatives of, or liable to the debts of, others.
FORM CIR-33
Rule 115(1)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
PROVISIONAL LIST OF CONTRIBUTORIES TO BE MADE OUT
BY LIQUIDATOR
(Title)
 
The following is a list of members of the company liable to be placed on the list of contributories of the said company, made out by me from the books and papers of the company, together with their respective addresses and the number of shares (or extent of interest) to be attributed to each, so far as I have been able to make out or ascertain the same.
In the first part of the list, the persons who are contributories in their own right are distinguished.
In the second part of the list, the persons who are contributories as being representatives of, or being liable to the debts of others, are distinguished.
FIRST PART
CONTRIBUTORIES IN THEIR OWN RIGHT
No.
Name
Address
Description
Number of shares (or extent of interest)
 
 
 
 
 
 
 
 
 
 
SECOND PART
CONTRIBUTORIES AS BEING REPRESENTATIVES OF,
OR LIABLE TO THE DEBTS OF, OTHERS
No.
Name
Address
Description
Number of shares (or extent of interest)
 
 
 
 
 
 
 
 
 
 
FORM CIR-34
Rule 116(2)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
CERTIFICATE OF LIQUIDATOR OF FINAL SETTLEMENT
OF THE LIST OF CONTRIBUTORIES
(Title)
 
Pursuant to the Insolvency, Restructuring and Dissolution Act 2018 and to the rules made thereunder, I, …………………..… [name of liquidator], the undersigned, being the liquidator of the abovenamed company, hereby certify that the result of the settlement of the list of contributories of the abovenamed company, so far as the list has been settled, up to the date of this certificate, is as follows:
1.  The persons whose names are set forth in the second column of the First Schedule hereto have been included in the list of contributories as contributories of the said company in respect of the (a) …………………..… set opposite the names of such contributories respectively in that Schedule.
I have, in the first part of that Schedule, distinguished such of the persons included in the list as are contributories in their own right.
I have, in the second part of that Schedule, distinguished such of the persons included in the list as are contributories as being representatives of or being liable to the debts of others.
2.  The persons whose names are set forth in the second column of the Second Schedule hereto, and were included in the provisional list of contributories, have been excluded from the list of contributories.
3.  I have, in the sixth column of the first part of the First Schedule and in the seventh column of the second part of the First Schedule and in the same column of the Second Schedule, set forth opposite the name of each of the persons respectively the date when such person was included in or excluded from the said list of contributories.
4.  Before settling the said list, I was satisfied by the affidavit of ………………… [name of person], …………………………………. [person’s relation to liquidator], duly filed with the proceedings herein, that notice was duly sent by post to each of the persons mentioned in the list, informing him that he was included in that list in the character and for the …………………………………. (a) stated therein, and of the day appointed for finally settling the list.…………………..
 
Dated this ….. day of …………………..… [month] …… [year]
 
In the matter of …………………..… [name of company]
 
The FIRST SCHEDULE above referred to.
FIRST PART
CONTRIBUTORIES IN THEIR OWN RIGHT
No.
Name
Address
Description
Number of shares (or extent of interest)
Date when included in the list
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
In the matter of …………………..… [name of company]
SECOND PART
CONTRIBUTORIES AS BEING REPRESENTATIVES OF,
OR LIABLE TO THE DEBTS OF, OTHERS
No.
Name
Address
Description
In what character included (b)
Number of shares (or extent of interest)
Date when included in the list
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
In the matter of …………………..… [name of company]
 
The SECOND SCHEDULE above referred to.
No.
Name
Address
Description
In what character proposed to be included (b)
Number of shares (or extent of interest)
Date when excluded in the list
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
(a) “Number of shares” or “extent of interest”.
(b) Being representatives of, or liable to the debts of, others.
FORM CIR-35
Rule 117(2)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
NOTICE TO CONTRIBUTORY OF
FINAL SETTLEMENT OF LIST OF CONTRIBUTORIES
(Title)
 
Take notice that I, …………………..… [name], the liquidator of the abovenamed company, have, by certificate, dated the ………… day of …………………..… [month] …… [year], under my hand, finally settled the list of contributories of the company, and that you are included in such list in the character and for the number of shares (or extent of interest) stated below.
Any application by you to vary the said list of contributories or, that your name may be excluded therefrom, must be made by you to the Court after the date of the service [on you] of the / this notice, or the application will not be entertained.
The said list may be inspected by you upon an application to the Registrar.
 
Dated this ….. day of …………………..… [month] …… [year]
 
…………………..…
Liquidator
To:
…………………………………. [name of contributory]
 
…………………………………. [address of contributory]
No. on list
Name
Address
Description
In what character included (a)
Number of shares (or extent of interest)
 
 
 
 
 
 
 
 
 
 
 
 
(a) In own right, being representatives of, or liable to the debts of, others.
FORM CIR-36
Rule 119(2)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
SUPPLEMENTAL LIST OF CONTRIBUTORIES
(Title)
 
1.  The following is a list of persons who, since making out the list of contributories herein, dated the ………….. day of …………………..… [month] …….…. [year], I have ascertained are, or have been, holders of shares in [or members of] the abovenamed company, and to the best of my judgment are contributories of the company.
2.  The said supplemental list contains the names of such persons together with their respective addresses and the number of shares (or extent of interest) to be attributed to each.
3.  In the first part of the list such of the persons as are contributories in their own right are distinguished.
4.  In the second part of the list such of the persons as are contributories as being representatives of, or being liable to the debts of others, are distinguished.
 
[The supplemental list is to be made out in the same form as the original list.]
FORM CIR-37
Rule 121(3)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
NOTICE TO EACH MEMBER OF COMMITTEE OF INSPECTION
OF MEETING FOR SANCTION TO PROPOSED CALL
(Title)
 
Take notice that a meeting of the committee of inspection of the above company will be held at …………………..… on the (a) ……… day of …………………..… [month] …… [year], at ……. a.m. / p.m., for the purpose of considering and obtaining the sanction of the committee to a call of $……. per share proposed to be made by the liquidator on the contributories.
Annexed hereto is a statement showing the necessity for the proposed call and the amount required.
 
Dated this ….. day of …………………..… [month] …… [year]
 
…………………..…
Liquidator
STATEMENT
1.  The amount due in respect of proofs admitted against the company, and the estimated amount of the costs, charges, and expenses of the winding up, form in the aggregate the sum of $…………….. or thereabouts.
2.  The assets of the company are estimated to realise the sums of $……………... There are no other assets, except the amounts due from certain of the contributories to the company, and in my opinion it will not be possible to realise in respect of the said amounts more than $...................
3.  The list of contributories has been duly settled, and persons have been settled on the list in respect of the total number of ……. shares.
4.  For the purpose of satisfying the several debts and liabilities of the company and of paying the costs, charges and expenses of the winding up, I estimate that a sum of $…………….. will be required in addition to the amount of the company’s assets hereinbefore mentioned.
5.  In order to provide the said sum of $…………….. it is necessary to make a call on the contributories, and having regard to the probability that some of them will partly or wholly fail to pay the amount of the call, I estimate that for the purpose of realising the amount required it is necessary that a call of $……. per share should be made.
 
(Annex tabular statement showing amounts of debts, costs, etc., and of assets)
(a)To be a date not less than 7 days after the date when the notice will reach the person to whom it is addressed.
FORM CIR-38
Rule 121(4)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
NOTICE OF MEETING OF COMMITTEE OF INSPECTION
TO SANCTION PROPOSED CALL
(Title)
 
Notice is hereby given that the undersigned liquidator of the abovenamed company proposes that a call should be made on all the contributories of the said company (or, as the case may be) of $……. per share, and that he has summoned a meeting of the committee of inspection of the company, to be held at ……………… [place of meeting] on the ……… day of …………… [month] …… [year] at ……. a.m. / p.m., to obtain their sanction to the proposed call.
Each contributory may attend the meeting, and be heard or make any communication in writing to the Liquidator or the members of the committee of inspection in reference to the intended call.
A statement showing the necessity of the proposed call and the purpose for which it is intended may be obtained on application to the liquidator at his office at ……………………………………… [liquidator’s address].
 
Dated this ….. day of …………………..… [month] …… [year]
 
…………………..…
Liquidator
FORM CIR-39
Rule 121(6)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
RESOLUTION OF COMMITTEE OF INSPECTION
SANCTIONING CALL
(Title)
 
Resolved that a call of $……. per share be made by the liquidator on all the contributories of the company (or, as the case may be).
 
Dated this ….. day of …………………..… [month] …… [year]
 
…………………..…
Members of the Committee of Inspection
FORM CIR-40
Rule 122(1)(a)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
SUMMONS FOR LEAVE TO MAKE A CALL
(Title)
 
Let the persons named in the second column of the Schedule hereto, being contributories of the abovenamed company, as shown in the fourth column of the Schedule, attend at …………………….……………..… [place of hearing] on the ……… day of ……………………..… [month] ……………..… [year] at ………………. a.m. / p.m. on the hearing of an application on the part of the (Official Receiver and) Liquidator, of the company for an order that he may be at liberty to make a call to the amount of $……. per share on all the contributories (or, as the case may be) of the company.
 
Dated this ….. day of …………………..… [month] …… [year]
 
This summons was taken out by ………………….…………[name of solicitor’s firm] of …………………………………….… [solicitor’s firm’s address] solicitors for the (Official Receiver and) Liquidator.
 
To:
…………………………………. [name of contributory]
 
…………………………………. [address of contributory]
 
Note: If you do not attend either in person or by your solicitor, at the time and place abovementioned, such order will be made and proceedings taken as the Court may think just and expedient.
The SCHEDULE above referred to.
 
THE SCHEDULE
No.
Name
Address
In what character included (a)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
(a)In own right, being representatives of, or liable to the debts of, others.
FORM CIR-41
Rule 122(1)(d)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
AFFIDAVIT OF LIQUIDATOR IN SUPPORT OF
PROPOSAL FOR CALL
(Title)
 
I, …………………..… [name of liquidator] of …………………………..…, [name of liquidator’s firm] the liquidator of the abovenamed company make *oath / affirm and say as follows:
1.  I have in the schedule now produced and shown to me, and marked with the letter ‘A’, set forth a statement showing the amount due in respect of the debts proved and admitted against the said company, and the estimated amount of the costs, charges and expenses of and incidental to the winding up the affairs thereof, and which several amounts form in the aggregate the sum of $…………….. or thereabouts.
2.  I have also in the said schedule set forth a statement of the assets in hand belonging to the company, amounting to the sum of $…………….…………... There are no other assets belonging to the company, except the amounts due from certain of the contributories of the company, and, to the best of my information and belief, it will be impossible to realise in respect of the amounts more than the sum of $…………….. or thereabouts.
3.  ……. persons have been settled by me on the list of contributories of the company in respect of the total number of ……. shares.
4.  For the purpose of satisfying the several debts and liabilities of the company and of paying the costs, charges and expenses of and incidental to the winding up the affairs thereof, I believe the sum of $…………….. will be required in addition to the amount of the assets of the company mentioned in the Schedule A, and the sum of $……………...
5.  In order to provide the said sum of $…………….., it is necessary to make a call upon the several persons who have been settled on the list of contributories as before mentioned, and, having regard to the probability that some of such contributories will partly or wholly fail to pay the amount of such call, I believe that, for the purpose of realising the amount required as before mentioned, it is necessary that a call of $……. per share should be made.
 
Sworn or affirmed, etc.
 
*Delete where inapplicable
FORM CIR-42
Rule 122(2)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
ADVERTISEMENT OF INTENDED CALL
 
In the matter of …………………..… [the company]
 
Notice is hereby given that the Court has appointed the ……… day of ……… [month] …… [year], at ……. a.m. / p.m., at …………………..… [place of appointment] to sanction a call on all the contributories of the said company (or, as the case may be) and that the liquidator of the company proposes that the call must be for $……. per share. All persons interested are entitled to attend at such day, hour and place to offer objections to such call.
 
Dated this ….. day of …………………..… [month] …… [year]
 
…………………..…
Liquidator
FORM CIR-43
Rule 122(3)(b)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
ORDER GIVING LEAVE TO MAKE A CALL
(Title)
 
The ……… day of …………………..… [month] ............... [year].
Upon the application of the (Official Receiver and) liquidator of the abovenamed company, and upon reading the affidavit of the (Official Receiver and) liquidator filed on the ………..… day of …………………..… [month] ………..… [year] and the exhibit marked ‘A’ therein referred to, and an affidavit of …………………..… [name of party other than the Official Receiver or liquidator] filed on the ……… day of …………………..… [month] …… [year].
IT IS ORDERED that leave be given to the (Official Receiver and) Liquidator to make a call of $……………... per share on all the contributories of the company (a) …………………..….
AND IT IS ORDERED that each such contributory do on or before the ……… day of …………………..… [month] …… [year] pay to the (Official Receiver and) Liquidator of the abovenamed company, the amount which will be due from him in respect of such call.
 
(a) Or, as the case may be.
FORM CIR-44
Rule 123
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
DOCUMENT MAKING A CALL
(Title)
 
I, …………………..…, the (Official Receiver and) liquidator of the abovenamed company, pursuant to *an Order of Court / resolution of the committee of inspection made (or passed) this ……… day of …………………..… [month] ……. [year] hereby make a call of $……. per share on all the contributories of the company, which sum is to be paid to the company on or before the …………… day of …………………..… [month] …… [year].
 
Dated this ….. day of …………………..… [month] …… [year]
 
*Delete where inapplicable
FORM CIR-45
Rule 124(2)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
NOTICE OF CALL SANCTIONED BY COMMITTEE OF
INSPECTION TO BE SENT TO CONTRIBUTORY
(Title)
 
Take notice that the committee of inspection in the winding up of this company has sanctioned a call of $……… per share on all the contributories of the company.
The amount due from you in respect of the call is the sum of $…………………. This sum should be paid by you to the company on or before the ……………… day of …………………..… [month] ……. [year].
 
Dated this ….. day of …………………..… [month] …… [year]
 
To:
…………………………………. [name of contributory]
 
…………………………………. [address of contributory]
 
…………………..…
Liquidator
 
Note: If you do not pay the sum due from you by the date mentioned, interest will be claimed on such sum at the prescribed rate of interest from that date until payment.
FORM CIR-46
Rule 124(2)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
NOTICE TO BE SERVED WITH THE ORDER
SANCTIONING A CALL
(Title)
 
The amount due from you, ………………………….... [name of contributory], in respect of the call made pursuant to leave given by the above [or within] order is the sum of $…………….., which sum is to be paid by you to the company on or before the ……… day of …………………..… [month] ……[year].
 
Dated this ….. day of …………………..… [month] …… [year]
 
To:
…………………………………. [name of contributory]
 
…………………………………. [address of contributory]
 
…………………..…
Liquidator
 
Note: If you do not pay the sum due from you by the date mentioned, interest will be claimed on such sum at the prescribed rate of interest from that date until payment.
FORM CIR-47
Rule 127(2)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
NOTICE BY LIQUIDATOR REQUIRING PAYMENT OF MONEY
OR DELIVERY OF BOOKS, ETC., TO LIQUIDATOR
(Title)
 
Take notice that I, the undersigned …………………………...., [name of liquidator] have been appointed liquidator of the abovenamed company, and that you are required, within ……… days after service of this notice, to pay to the company (or deliver, convey, surrender or transfer to or into my hand as liquidator of the said company), (the sum of $…………….., being the amount of debt appearing to be due from you on your account with the company) (or specifically describe the property) now in your hands, and to which the company is prima facie entitled (or otherwise, as the case may be).
 
Dated this ….. day of …………………..… [month] …… [year]
 
…………………..…
Liquidator
 
To:
……………………………….. [name of person / person’s solicitor]
 
……………………………….. [address of person / person’s solicitor]
FORM CIR-48
Rule 131(2)(a)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
NOTICE OF INTENDED DIVIDEND
 
Name of Company
:
 
Unique Entity No. /
Registration No.
:
 
Address of Registered Office
:
 
Court
:
 
Number of Matter
:
 
Last Day for Receiving Proofs
:
 
Name of Liquidator
:
 
Address
:
 
Dated
:
 
FORM CIR-49
Rule 131(2)(b)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
NOTICE TO CREDITORS OF INTENTION TO DECLARE DIVIDEND
(Title)
 
A (a) …………………..… dividend is intended to be declared in the above matter. *You are mentioned in the statement of affairs / You appear to be a creditor of the company, but you have not yet proved your proof of debt.
If you do not prove your debt by the ……..…… day of …………………..… [month] …… [year], you will be excluded from this dividend.
 
Dated this ….. day of …………………..… [month] …… [year]
 
…………………..…
Liquidator
 
Name and address of Liquidator ……………………………………………….…………………
…………………………………………………………………………………………………….…………
 
To:
…………………………………. [name of creditor]
 
…………………………………. [address of creditor]
 
(a) Insert here “first” or “second” or “final” or as the case may be.
*Delete where inapplicable
FORM CIR-50
Rule 141(4)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
NOTICE TO CREDITORS AND CONTRIBUTORIES OF
INTENTION TO APPLY FOR RELEASE
(Title)
 
Take notice that I, the undersigned Liquidator of the abovenamed company, intend to apply to the Court for my release, and further take notice that any objection you may have to the granting of my release must be notified to the undersigned within 21 days of the date hereof.
A summary of my receipts and payments as Liquidator is hereto annexed.
 
Dated this ….. day of …………………..… [month] …… [year]
 
…………………..…
Liquidator
 
To:
…………………………………. [name of creditor / contributory]
 
…………………………………. [address of creditor / contributory]
 
 
Note: Section 149(4) of the Insolvency, Restructuring and Dissolution Act 2018 states that an order of the Court releasing the liquidator shall discharge him from all liability in respect of any act done or default made by him in the administration of the affairs of the company or otherwise in relation to his conduct as liquidator, but any such order may be revoked on proof that it was obtained by fraud or by suppression or concealment of any material fact.
Statement of Accounts
Dr.
Cr.
 
Estimated Realisable Value as per Statement of Affairs
Receipts
 
Payments
 
$
$
 
$
Receipts received from date of Winding Up Order, viz:
 
 
Payments made from date of Winding Up Order, viz:
 
 
 
 
 
 
Asset realised: (state particulars under the several headings specified in the Statement of Affairs)
-
-
 
 
Cost of winding up:
- Applicant’s cost of winding up
- Legal costs
- Liquidator’s fees and remuneration
 
 
 
 
 
 
 
 
 
(state other costs incurred)
 
Other receipts (state receipts other than assets realised above)
 
 
-
-
 
- [Companies winding up deposit]
- [Interest on investments]
 
 
Dividends:
- Preferential
- Ordinary
 
 
 
 
[Return to contributories:]
 
Total:
 
 
Total:
 
(Insert any special remarks the liquidator thinks desirable).
 
Creditors can obtain any further information by inquiry at the office of the Liquidator.
 
Dated this ….. day of …………………..… [month] …… [year]
 
…………………..…
Liquidator
FORM CIR-51
Rule 141(5)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
APPLICATION BY LIQUIDATOR TO THE COURT FOR RELEASE
(Title)
 
I, …………………..…[name of liquidator], the liquidator of the abovenamed company, do hereby report to this Honourable Court as follows:
1.  That the whole of the property of the company has been realised for the benefit of the creditors and contributories [and a dividend to the amount of $…… per centum has been paid as shown by the statement hereunto annexed, and a return of ……… per share has been made to the contributories of the company];
[or That so much of the property of the company as can, according to the joint opinion of myself and the committee of inspection hereunto annexed in writing under our hands, be realised without needlessly protracting the liquidation, has been realised, as shown by the statement hereunto annexed, and a dividend to the amount of $……… per centum has been paid, together with a return of ……… per share to the contributories of the company] (a)                                 .
2.  I have given or caused to be given to all creditors and contributories the notice required to be given by rule 141(2) of the Insolvency, Restructuring and Dissolution (Corporate Insolvency and Restructuring) Rules 2020.
3.  I have caused a report on my accounts to be prepared, and I request this Honourable Court to grant me an order on being satisfied therewith.
Dated this ….. day of …………………..… [month] …… [year]
 
…………………..…
Liquidator
 
(a)Add if necessary “That the rights of the contributories between themselves have been adjusted.”.
FORM CIR-52
Rule 147(2)(b)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
REQUEST TO DELIVER BILL FOR TAXATION
(Title)
 
I hereby request that you will, within ……… days of the date of this request, or such further time as the Court may allow, deliver for taxation, your bill of costs [or charges] as (a) …………………..… failing which, I shall, pursuant to the Insolvency, Restructuring and Dissolution Act 2018 and the Insolvency, Restructuring and Dissolution (Corporate Insolvency and Restructuring) Rules 2020, proceed to declare and distribute a dividend without regard to any claim which you may have against the assets of the company and your claim against the assets of the company will be liable to be forfeited.
 
Dated this ….. day of …………………..… [month] …… [year]
 
(a)Here state nature of employment or services.
FORM CIR-53
Rule 152
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
CERTIFICATE OF TAXATION
(Title)
 
I hereby certify that I have taxed the bill of costs [or charges] [or expenses] of …………………..… [name of applicant] …………………..… [here state capacity in which employed or engaged] [where necessary add “pursuant to an order of the Court dated the ……… day of …………………..… [month] …… [year]”], and have allowed the same at the sum of dollars …………………..……………………..… [where necessary add “which sum is to be paid to the said …………………………………. [name of applicant] as directed by the said order”].
 
Dated this ….. day of …………………..… [month] …… [year]
 
 
……………………………..
Registrar
 
___________
$                    
FORM CIR-54
Rule 161(2)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
ORDER APPOINTING A TIME FOR PUBLIC EXAMINATION
(Title)
 
Upon the application of the Liquidator in the above matter, IT IS ORDERED that the public examination of …………………..… [name of person] who, by the Order of the Court dated the ……… day of …………………..… [month] …… [year], was directed to attend before …………………..… [name of Judge / District Judge] to be publicly examined, be held at ………….…………..… [place of examination] on the ……… day of …………………..… [month] …… [year] at ……. a.m. / p.m.
AND IT IS ORDERED that the abovenamed …………………..… [name of person] do attend at the place and time abovementioned.
 
Dated this ….. day of …………………..… [month] …… [year]
 
Note: Notice is hereby given that if you, the abovenamed person fail, without reasonable excuse, to attend at the time and place aforesaid, you will be liable to be committed to prison without further notice.
FORM CIR-55
Rule 162(1)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
NOTICE TO ATTEND PUBLIC EXAMINATION
(Title)
 
WHEREAS by an Order of this Court, made on the ……… day of ………………… [month] ……….……..… [year], IT WAS ORDERED that you, the undermentioned …………………..… [name of person] should attend before the Court on the day and at a place to be named for the purpose, and be publicly examined as to the promotion or formation of the company, and as to the conduct of the business of the company and as to your conduct and dealings as (a) ……………………………….:
AND WHEREAS the ……… day of …………………..… [month] …………… [year] at ……. a.m. / p.m., before the ………………….. [name of Judge / District Judge] sitting at …………………..… [place of examination] has been appointed as the time and place for holding the examination.
NOTICE is hereby given that you are required to attend at the said time and place, and at any adjournments of the examination which may be ordered, and to bring with you and produce all books, papers and writings, and other documents in your custody or power in any way relating to the abovenamed company.
AND TAKE NOTICE that if you fail, without reasonable excuse, to attend at such time and place, and at the adjournments of the public examination which may be ordered, you will be liable to be committed to prison without further notice.
 
Dated this ….. day of …………………..… [month] …… [year]
 
…………………..…
Liquidator
 
To:
…………………………………. [name of person / person’s solicitor]
 
…………………………………. [person / person’s solicitor’s address]
 
 
(a)Insert director or officer (or, as the case may be).
FORM CIR-56
Rule 165
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)
INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(CORPORATE INSOLVENCY AND RESTRUCTURING) RULES 2020
WARRANT AGAINST PERSON
WHO FAILS TO ATTEND EXAMINATION
(Title)
 
To the Sheriff of our said Court and to the Commissioner of Prisons.
WHEREAS by evidence taken by oath, it has been made to appear to the satisfaction of the Court that by Order of the Court dated the ………….……….. day of ……………. [month] ……… [year], and directed to ………………….. [name of person required to attend] he was directed to attend personally at the ……………… [place of examination] and be examined before …………………… [name or title of officer before whom examination is directed to be held], which Order was afterwards, as has been duly proved on oath, duly served upon the said …………… [name of person required to attend] [or, that there is probably reason to suspect and believe that the said ……………………….. [name of person required to attend], has absconded and gone abroad or quitted his place of residence, or is about to go abroad or quit his place of residence] with a view of avoiding examination under the Insolvency, Restructuring and Dissolution Act 2018.
AND WHEREAS the said ……………………….. [name of person required to attend] did without good cause fail to attend on the ………….. day of …………………. [month] …… [year], for the purpose of being examined, according to the requirements of the Order of this Court made on the ………….. day of ……………… [month] …… [year], directing him so to attend.
These are therefore to require you the Sheriff of our said Court to take the said ……………………………………….….. [name of person required to attend] and to deliver him to the Commissioner of Prisons, and you the Commissioner to receive the said ……………………….. [name of person required to attend] and to keep him safely in the Civil Prison until such time as this Court may order.
 
Given under my hand and seal of the Court this ……… day of …………………..… [month] ……. [year].
 
Registrar