Form B

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 for Corporate Persons) Regulations, 2016)
19-Sep-2023
To,
The Interim Resolution Professional / Resolution Professional
S V Ramani
Room No 9, 9th Floor, OM Tower, 32, Chowringhee Road, Kolkata - 700071
From
Cybolite Techservices Private Limited
House No-5 Second Floor, Shakarpur Khas, Near Laxminagar Metro Station,
DELHI, INDIA 110092
Subject: Submission of proof of claim.
Madam/Sir,
Cybolite Techservices Private Limited, hereby submits this proof of claim in respect of the
corporate insolvency resolution process in the case of Yescom India Softech Private
Limited. The details for the same are set out below:
PARTICULARS
1. NAME OF OPERATIONAL CREDITOR Cybolite Techservices Private Limited
2. IDENTIFICATION NUMBER OF U72900DL2019PTC348631

OPERATIONAL CREDITOR
(IF AN INCORPORATED BODY PROVIDE

IDENTIFICATION NUMBER AND PROOF OF
INCORPORATION. IF A PARTNERSHIP OR
INDIVIDUAL PROVIDE IDENTIFICATION
RECORDS* OF ALL THE PARTNERS OR
THE INDIVIDUAL)
3. ADDRESS AND EMAIL ADDRESS OF House No-5 Second Floor, Shakarpur
OPERATIONAL CREDITOR FOR Khas, Near Laxminagar Metro Station,
CORRESPONDENCE DELHI, INDIA 110092
[email protected]
4. TOTAL AMOUNT OF CLAIM 2209400
(INCLUDING ANY INTEREST AS AT THE

INSOLVENCY COMMENCEMENT DATE)
5. DETAILS OF DOCUMENTS BY REFERENCE MOU
TO WHICH THE DEBT CAN BE
SUBSTANTIATED.
PARTICULARS
6. DETAILS OF ANY DISPUTE AS WELL AS NA

THE RECORD OF PENDENCY OR ORDER OF
SUIT OR ARBITRATION PROCEEDINGS
7. DETAILS OF HOW AND WHEN DEBT AS AN MOU HAS BEEN EXECUTED

INCURRED BETWEEN OPERTIONAL CREDITOR I.E.
( CYBOLITE TECHSERVICES PVT. LTD) AND
YESCOM INDIA PVT LTD IN WHICH MY
COMPANY HAS BEEN GIVENA AN
ASSIGNMENT OF WEBSITE MAINTENACE
AND SERVER MAINTENANCE. TO AVAIL
THIS SERVICE, YESCOM HAS AGREED TO
PAY OF RS. 1.50 LAKHS WHICH IS
MENTIONED IN THE MOU. HOWEVER,
YESCOM HAS BEEN IRREGULAR IN THE
PAYMNET SINCE THE BEIGNING ANF FOR
WHICH SEVERAL MAILS HAVE BEEN
DROPPED. BUT, WE HAVE NOT EVER
STOPPED OUR SERVICE.
8. DETAILS OF ANY MUTUAL CREDIT, NA
MUTUAL DEBTS, OR OTHER MUTUAL
DEALINGS BETWEEN THE CORPORATE
DEBTOR AND THE CREDITOR WHICH MAY
BE SET-OFF AGAINST THE CLAIM
9. DETAILS OF: NA
a. any security held, the value of

security and its date, or
B. any retention of title

arrangement in respect of goods
or properties to which the claim
refers
10. DETAILS OF THE BANK ACCOUNT TO BANK ACCOUNT DETAIL

WHICH THE AMOUNT OF THE CLAIM OR
ANY PART THEREOF CAN BE
TRANSFERRED PURSUANT TO A
RESOLUTION PLAN
11. LIST OF DOCUMENTS ATTACHED TO THIS BILL TO BE ATTACHED
PROOF OF CLAIM IN ORDER TO PROVE
THE EXISTENCE AND NON-PAYMENT OF
CLAIM DUE TO THE OPERATIONAL
CREDITOR
PARTICULARS
Signature of operational creditor or person authorised to act on his behalf

[Please enclose the authority if this is being submitted on behalf of an operational creditor]
Name in BLOCK LETTERS

Shivesh Chandra
Position with or in relation to creditor
Director
Address of person signing
Bhartiya Nagar Ward No – 26, Saharsa, Bihar - 852201
*PAN number, passport, AADHAAR Card or the identity card issued by the Election
Commission of India
DECLARATION
I, Shivesh Chandra, currently residing at Patna, hereby declare and state as follows:-
1. Yescom India Softech Private Limited, the corporate debtor was, at the insolvency
commencement date, being the…………..day of………………20….., actually indebted
to me in the sum of Rs. 2209400.
2. In respect of my claim of the said sum or any part thereof, I have relied on the documents
specified below: MOU and Bill.
3. The said documents are true, valid and genuine to the best of my knowledge, information
and belief and no material facts have been concealed therefrom.
4. In respect of the said sum or any part thereof, neither I nor any person, by my order, to
my knowledge or belief, for my use, had or received any manner of satisfaction or
security whatsoever, save and except the following:
No such mutual claim, credit, debts or other mutual dealing which may be set off aginst
the claim.
Date: 16-Sep-2023
Place: Delhi
(Signature of the claimant)
VERIFICATION
I, Shivesh Chadra the claimant hereinabove, do hereby verify that the contents of this proof
of claim are true and correct to my knowledge and belief and no material fact has been
concealed therefrom.
Verified at … on this …… day of ………., 20…
(Signature of the claimant)
[Note: In the case of company or limited liability partnership, the declaration and
verification shall be made by the director/manager/secretary and in the case of other entities,
an officer authorised for the purpose by the entity].

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FORM B

PROOF OF CLAIM BY OPERATIONAL CREDITORS EXCEPT WORKMEN AND EMPLOYEES

Subject: Submission of proof of claim.

1. NAME OF OPERATIONAL CREDITOR Cybolite Techservices Private Limited

2. IDENTIFICATION NUMBER OF U72900DL2019PTC348631

(IF AN INCORPORATED BODY PROVIDE

(INCLUDING ANY INTEREST AS AT THE

6. DETAILS OF ANY DISPUTE AS WELL AS NA

7. DETAILS OF HOW AND WHEN DEBT AS AN MOU HAS BEEN EXECUTED

a. any security held, the value of

B. any retention of title

10. DETAILS OF THE BANK ACCOUNT TO BANK ACCOUNT DETAIL

Signature of operational creditor or person authorised to act on his behalf

Name in BLOCK LETTERS

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