KAEDAH-KAEDAH INSOLVENSI (PERKIRAAN SUKARELA) 2017

Tiap-tiap prosiding dalam mahkamah di bawah Kaedah-Kaedah ini hendaklah dengan penambahan yang perlu dinamakan sebagaimana dalam Borang 1.

Ketua Pengarah Insolvensi dalam Borang 2 disertai dengan fi pendaftaran sebagaimana yang dinyatakan dalam Jadual Pertama.

Tertakluk kepada subseksyen 2D(2) Akta, mahkamah hendaklah membuat perintah interim dalam Borang 6.

Borang 7 kepada penama dalam tempoh empat belas hari daripada tarikh perintah interim diberikan oleh mahkamah.

Penama hendaklah menyediakan cadangan penghutang dalam Borang 9 dalam tempoh dua puluh satu hari selepas penerimaan pernyataan hal ehwal.

Pemiutang boleh memberikan proksi kepada pengurusnya, kerani atau mana-mana orang yang bekerja secara tetap dengannya untuk menghadiri mesyuarat pemiutang.

Penama hendaklah menjadi pengerusi mesyuarat pemiutang.

hendaklah layak untuk mengundi secara sendiri atau melalui proksi dalam mesyuarat pemiutang atau mana-mana penangguhan mesyuarat itu.

Pengerusi hendaklah menyebabkan minit prosiding dalam mesyuarat pemiutang direkodkan dan minit hendaklah ditandatangani olehnya.

Jika penghutang berniat untuk menggantikan penama pada bila-bila masa sebelum perkiraan sukarela selesai di bawah seksyen 2M Akta, penghutang itu hendaklah memfailkan Borang 13 di mahkamah dan menyampaikan borang tersebut—

Penama boleh membuat permohonan untuk arahan daripada mahkamah sebagaimana dalam Borang 14.

P.U. (A) 304 8

Penama boleh menuntut mana-mana kos, caj, saraan, pembayaran dan perbelanjaan berkaitan dengan perkiraan sukarela tidak melebihi amaun dua ribu ringgit.

P.U. (A) 304 9

JADUAL PERTAMA

[Kaedah 3]

FI BAGI PENDAFTARAN PENAMA

(1)

Butiran

(2)

Perkara

(3)

1.

Pendaftaran penama

1,000

P.U. (A) 304 10

JADUAL KEDUA

[Subkaedah 21(1)]

FI BAGI PROSIDING BERHUBUNG DENGAN PERKIRAAN SUKARELA

(1)

Butiran

(2)

Perkara

(3)

1.

Permohonan ex parte bagi perintah interim di bawah perkiraan sukarela

40

2.

Perintah interim di bawah subseksyen 2D(1)

20

3.

Pemfailan laporan mesyuarat pemiutang ke mahkamah di bawah subseksyen 2J(1)

10

4.

Permohonan bagi semakan keputusan mesyuarat pemiutang di bawah subseksyen 2L(1)

20

5.

Perintah bagi semakan keputusan mesyuarat pemiutang di bawah subseksyen 2L(1)

10

6.

Pemfailan notis untuk menggantikan penama di bawah seksyen 2M

10

7.

Permohonan bagi arahan daripada mahkamah oleh penama di bawah subseksyen 2N(4)

10

P.U. (A) 304 11

JADUAL KETIGA

[Subkaedah 21(2)]

FI PERKIRAAN SUKARELA

(1)

Butiran

(2)

Amaun hutang keseluruhan/Perkara

(3)

(%)

1.

Bagi RM200,000.00 yang pertama

5

2.

Bagi RM500,000.00 yang seterusnya

3

3.

Bagi RM2,000,000.00 yang seterusnya

1.5

4.

Bagi RM7,300,000.00 yang seterusnya

0.5

5.

Jumlah hutang yang melebihi

RM10,000,000.00

Boleh dirunding atas lebihan tetapi tidak boleh melebihi 0.3% daripada lebihan tersebut

P.U. (A) 304 12

SENARAI BORANG

No. Borang

Nama borang

Kaedah 1

Tajuk am 2 2

Permohonan pendaftaran sebagai penama 3 3

Persetujuan penama 7 4

Permohonan ex parte perintah interim oleh penghutang 7 5

Afidavit sokongan permohonan untuk perintah interim 7 6

Perintah interim 8 7

Pernyataan hal ehwal 9 8

Bukti hutang 10 9

Cadangan penghutang 11 10

Notis untuk memanggil mesyuarat pemiutang 12 11

Proksi 12 12

Laporan penama 18 13

Notis untuk menggantikan penama 19 14

Permohonan ex parte oleh penama untuk arahan mahkamah 20

P.U. (A) 304 13

BORANG 1

TAJUK AM (k. 2)

Dalam Mahkamah Tinggi di Malaya/Sabah/Sarawak di………………………………………….

Dalam Perkiraan Sukarela No…………………….…………………………..20…...

Dalam perkara………… (Nama penghutang)(Nombor kad pengenalan)

P.U. (A) 304 14

BORANG 2

PERMOHONAN UNTUK PENDAFTARAN SEBAGAI PENAMA (k. 3)

BUTIR-BUTIR PERIBADI

1.

Nama penuh

:

2.

Jantina

:

3.

Status perkahwinan

:

4.

Tarikh lahir

:

5.

Tempat lahir

:

6.

Kewarganegaraan

:

7.

Kaum

:

8.

Nombor kad pengenalan

:

9.

Alamat terkini pejabat/kerja

:

10.

E-mel

:

11.

Nombor telefon bimbit

:

12.

Nombor telefon pejabat/kerja

:

P.U. (A) 304 15

AKUAN PEMOHON

1.

Dengan menandatangani borang permohonan ini, saya mengaku bahawa —

KELAYAKAN AKADEMIK

1.

Nama kelayakan akademik yang tertinggi dimiliki

:

2.

Nama universiti/institusi

:

KEHENDAK DI BAWAH AKTA INSOLVENSI 1967 1.

Kategori-kategori pemohon menurut seksyen 2G (1) Akta Insolvensi 1967

(Sila tanda mana yang bersesuaian)

seorang akauntan berkanun berdaftar di bawah Akta Akauntan 1967 [Akta 94]

seorang peguam cara dan peguam bela yang diterima masuk dan didaftarai di bawah Akta Profesion Undang-Undang 1976 [Akta 166]

mana-mana orang lain yang Menteri tetapkan melalui Warta di bawah subperenggan 2G(1)(a)(iii) Akta Insolvensi 1967.

Sekiranya di bawah orang lain yang Menteri tetapkan, sila nyatakan kategori yang ditentukan lain-lain orang itu:

2.

Tarikh kemasukan/pendaftaran/didaftarai

:

3.

Tarikh luput keahlian (sekiranya ada)

:

4.

Tahun pengalaman

:

P.U. (A) 304 16

[Akta 615]

2.

Saya juga menyedari kesan hukuman penal bagi pengakuan palsu berkenaan dengan di atas, saya mungkin boleh dihukum di bawah mana-mana undang-undang yang terpakai di

Malaysia.

Tarikh:……………………………………

……………………………………………………………

Tandatangan pemohon

P.U. (A) 304 17

BORANG 3

(Tajuk am)

PERSETUJUAN PENAMA (k. 7)

Maka satu permohonan telah dibuat oleh penghutang yang bernama di atas untuk suatu perintah interim, saya……………nombor kad pengenalan…………….dengan ini bersetuju dan sanggup bertindak berhubung dengan perkiraan sukarela.

Bertarikh...................hari bulan..................., 20...................

..............................................

Tandatangan penama

P.U. (A) 304 18

BORANG 4

(Tajuk am)

PERMOHONAN EX PARTE PERINTAH INTERIM OLEH PENGHUTANG (k. 7)

Saya………………, nombor kad pengenalan……………………….berhasrat untuk membuat permohonan kepada mahkamah untuk satu perintah interim menurut subseksyen 2C(2)(b) Akta Insolvensi 1967.

Alasan permohonan telah dinyatakan dalam afidavit saya yang bertarikh

……………………………….hari bulan………………………20…………

Bertarikh………………………………….hari bulan…………………………………20………………………………

………………………………………………

Tandatangan penghutang

P.U. (A) 304 19

BORANG 5

(Tajuk am)

AFIDAVIT SOKONGAN PERMOHONAN UNTUK PERINTAH INTERIM (k. 7)

Saya…………………., nombor kad pengenalan……………………….menegaskan dan menyatakan:

1.

Bahawa berdasarkan pengetahuan, maklumat dan kepercayaan, saya sedar bahawa tindakan pelaksanaan atau proses undang-undang seperti berikut telah dibuat terhadap saya.

Butiran pelaksanaan atau proses undang-undang dinyatakan seperti berikut:

(a)

………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………

(b)

………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………

(c)

………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………

2.

Bahawa saya tidak memfailkan suatu permohonan untuk perintah interim sepanjang tempoh dua belas bulan sebaik sebelum tarikh permohonan ini untuk perintah interim.

3.

Bahawa Borang 3, senarai kesemua pemiutang saya dan anggaran amaun yang terhutang dengan ini dikemukakan dan ditandakan sebagai ekshibit “…………………” dan “…………………” dan dilampirkan bersama-sama ini.

Diangkat sumpah (atau diikrarkan)

pada..............haribulan.........................................., 20…......

di.........................................................

(Melalui terjemahan oleh ...................................................)

Di hadapan saya

...........................................

Pesuruhjaya Sumpah

P.U. (A) 304 20

BORANG 6

(Tajuk am)

PERINTAH INTERIM (k. 8)

Atas permohonan (nama penghutang), nombor kad pengenalan…………………., dan dengan membaca afidavitnya bertarikh…………,

Adalah diperintahkan bahawa perintah ini hendaklah sah bagi tempoh sembilan puluh hari dari tarikh pembuatannya dan terhenti berkuat kuasa pada………….. atau menurut subseksyen 2K(2)

Akta Insolvensi 1967 [Akta 360], pada berakhirnya tiga puluh hari dari tarikh laporan keputusan mesyuarat telah dimeterai oleh mahkamah di bawah seksyen 2J Akta ini.

Dan adalah perintahkan bahawa tiada petisyen kebankrapan boleh dibuat atau diteruskan terhadap penghutang dan tiada prosiding, tindakan pelaksanaan atau proses perundangan yang boleh dimulakan atau diteruskan terhadap penghutang tanpa kebenaran terlebih dahulu mahkamah.

Bertarikh…………hari bulan……………20………………

(Meterai mahkamah)

………………………………………………

Pendaftar

P.U. (A) 304 21

BORANG 7

(Tajuk am)

PERNYATAAN HAL EHWAL (k. 9)

Anda dikehendaki untuk mengisi dengan berhati-hati dan tepat, borang ini yang menunjukkan keadaan hal ehwal pada hari Perintah Interim telah dibuat terhadap anda pada ……….. hari bulan

………………………………..20………. Borang ini apabila diisi akan menjadi pernyataan hal ehwal yang apabila dilengkapkan hendaklah ditentusahkan pada hari diperakukan.

BAHAGIAN A: ASET

Butiran

Tanah/rumah 1

Tanah/rumah 2

Alamat penuh

Bercagar/tidak bercagar

Nama Pemilik Bersama (jika ada)

Nama penghuni dan hubungan

(jika tanah/rumah diduduki individu lain)

*Jika lebih, sila lampirkan lembaran berasingan

2.

Kenderaan (Tidak tertakluk kepada perjanjian sewa beli)

Butiran

Nombor

Pendaftaran

Jenis

Diguna oleh individu lain

(ya/tidak)

Jika ya, nama pengguna dan alamat

Kenderaan 1

Kenderaan 2

*Jika lebih, sila lampirkan lembaran berasingan

P.U. (A) 304 22

3.

Lain-lain pemilikan aset

Tanda √

Butiran

Anggaran (RM)

Wang tunai di tangan

Baki dibank

Mesin, lekapan, kelengkapan, perkakas, dsb.

Stok ladang dan tanaman

Perabot Isi rumah

Harta Intelek (Paten, hak cipta, rekaan perindustrian)

Barang kemas/barangan antik

Lain-lain. Sila nyatakan:

*Jika lebih, sila lampirkan lembaran berasingan

4.

Stok niaga

Butir-butir penuh mengenai tiap-tiap perihal harta yang dimiliki dan dalam pengembalian adalah tidak termasuk dalam mana-mana senarai lain hendaklah dinyatakan dalam senarai ini.

Pernyataan penuh dan sifat harta benda

Kos anggaran (RM)

Anggaran dihasilkan

Saham dagangan di Malaysia

Saham dagangan di tempat lain

Stok dalam perdagangan barangan dalam perjalanan dari atau ke Malaysia, notis ketibaannya telah diterima

*Jika lebih, sila lampirkan lembaran berasingan

P.U. (A) 304 23

5.

Bil pertukaran

Nama penerima bil atau nota

Alamat, dsb

Amaun bil atau nota

Tarikh apabila perlu

Anggaran dihasilkan

Butir-butir tentang apa-apa harta yang dipegang sebagai jaminan untuk pembayaran bil atau nota

* Jika lebih, sila lampirkan lembaran berasingan

6.

Syer

Nama syarikat

Amaun pegangan

Nilai semasa saham

* Jika lebih, sila lampirkan lembaran yang berasingan

7.

Pelaburan

Nama pelaburan

Nama institusi pelaburan

Diperoleh secara tunai atau pinjaman

Nombor akaun atau polisi

* Jika lebih, sila lampirkan lembaran berasingan

8.

Polisi Insurans

Jenis insuran

(Contohnya nyawa, kesihatan dan lain-lain)

Nama syarikat insuran

Anggaran simpanan

Bayaran sebulan

* Jika lebih, sila lampirkan lembaran berasingan

P.U. (A) 304 24

9.

Buku Hutang

(Suatu amaun hutang yang didebitkan kepada suatu akaun di dalam suatu lejar/ suatu hutang yang terhutang kepada seseorang pekedai sebagaimana yang direkodkan di dalam buku akaunnya)

Nama

Penghutang

Tempat tinggal dan

Pekerjaan

Amaun hutang

Folio lejer atau butiran buku yang dijumpai

Bila berkontrak

Anggaran dihasilkan

Butiran sekuriti yang dipegang untuk hutang

Baik

Ragu

Teruk

Bulan

Tahun

* Jika lebih, sila lampirkan lembaran berasingan

BAHAGIAN B: HUTANG

1.

Hutang bercagar (keseluruhan atau sebahagian)

Hutang bercagar adalah suatu pinjaman yang suatu harta (contohnya rumah, tanah, dsb.)

dicagarkan secara keseluruhan atau sebahagiannya (contohnya rumah, tanah, dsb.) bagi pinjaman itu. Kegagalan untuk membayar hutang itu, harta itu akan dilelong oleh bank.

Nama pemiutang

Alamat pemiutang

Pekerjaan pemiutang

(sekiranya individu)

Harta yang dicagarkan

Jumlah hutang

Tarikh bila diberikan

* Jika lebih, sila lampirkan lembaran berasingan

P.U. (A) 304 25

2.

Hutang tidak bercagar

Hutang tidak bercagar adalah pinjaman yang diberikan tanpa cagaran.

Nama pemiutang

Alamat pemiutang

Pekerjaan pemiutang

(sekiranya individu)

Jumlah hutang (RM)

Tarikh bila diberikan

* Jika lebih, sila lampirkan lembaran berasingan

3.

Pemiutang keutamaan untuk sewa, kadar, cukai dan upah

Pemiutang keutamaan adalah pemiutang yang akan mempunyai keutamaan dalam pengagihan dividen ke atas pemiutang lain (termasuk cukai pendapatan yang perlu dibayar, cukai hartanah, tunggakan gaji pekerja dan sumbangan KWSP yang perlu dibayar).

Nama pemiutang

Alamat pemiutang

Pekerjaan pemiutang

(sekiranya individu)

Jenis tuntutan

Tempoh semasa tuntutan terakru

Perbezaan kedudukan untuk bayaran dividen

Amaun keseluruhan yang kena dibayar

Amaun tuntutan

Tarikh kena bayar

* Jika lebih, sila lampirkan lembaran berasingan

P.U. (A) 304 26

BAHAGIAN C: LIABILITI

1.

Liabiliti

Apa-apa bayaran yang perlu dibayar disebabkan oleh apa-apa obligasi.

Nama pemiutang dan penuntut

Alamat dan

Pekerjaan

Amaun liabiliti atau tuntutan

Tarikh semasa liabiliti berlaku

Jenis liabiliti

* Jika lebih, sila lampirkan lembaran berasingan

2.

Liabiliti di bawah Akta Sewa Beli 1967 [Akta 212]

Nama pemiutang dan penuntut

Alamat dan pekerjaan

Amaun liabiliti atau tuntutan

Tarikh bila liabiliti berlaku

Jenis liabiliti

* Jika lebih, sila lampirkan lembaran berasingan

3.

Liabiliti penghutang pada bil selain penerimaanya (bagi penghutang yang menjalankan perniagaan)

Nama pemiutang dan penuntut

Alamat dan pekerjaan

Sama ada bertanggungan sebagai penyuruh bayar atau pengesah

Tarikh kena bayar

Amaun

Tarikh bila liabiliti berlaku

* Jika lebih, sila lampirkan lembaran berasingan

P.U. (A) 304 27

BAHAGIAN D: AKAUN SUSUTAN (bagi penghutang yang menjalankan perniagaan)

RM

Lebihan aset atas tanggungan daripada (a)................................. hari bulan

............................................. 20........................ jika ada.

Keuntungan bersih daripada menjalankan perniagaan dari

hari bulan

..........................................................

20....................., hingga tarikh perintah interim selepas ditolak perbelanjaan-perbelanjaan biasa (jika ada).

Pendapatan daripada punca-punca lain semenjak (a)................................ hari bulan ...............................................20...................

Susutan seperti pernyataan hal ehwal:

(b)

Lebihnya aset daripada tanggungan daripada (a)................................. hari bulan

............................................. 20........................ jika ada.

Kerugian bersih daripada menjalankan perniagaan dari

Hutang lapuk (jika ada) seperti dalam jadual (c).

Perbelanjaan dilakukan semenjak (a) ........................................... hari bulan

.................... 20 ...................., Selain perbelanjaan biasa bagi perniagaan, iaitu, perbelanjaan rumah tangga bagi diri dan

………………………………………………………………………………………………………………

Lebihan seperti pernyataan hal ehwal (jika ada):

(b)

P.U. (A) 304 28

(a)

12 bulan sebelum tarikh perintah interim atau sebelum masa lain sebagaimana yang ditetapkan oleh penama.

(b)

Angka-angka ini sepatutnya serupa.

(c)

Jadual in mesti menunjukkan bila hutang telah dilakukan.

(d)

Tambah isteri dan anak-anak dengan menyatakan bilangan anak-anak (jika ada)

(e)

Di sini tambah apa-apa perbelanjaan atau kerugian lain.

PENGAKUAN

Saya__________________________________________nombor kad pengenalan _____________________mengaku dan mengesahkan bahawa butir-butir yang dinyatakan dalam pernyataan ini adalah kenyataan lengkap, jujur dan benar mengenai hal ehwal saya.

Diangkat sumpah (atau diikrarkan)

pada..............haribulan.........................................., 20…......

Di hadapan saya

___________________________________

Pesuruhjaya Sumpah

P.U. (A) 304 29

BORANG 8

(Tajuk am)

BUKTI HUTANG (k. 10)

Saya (b) ……………………………………..………………………..............…berumur……………………………..tinggal di……………………………………………… mengikrarkan dan menyatakan:

(c)

Bahawa saya adalah dalam perkhidmatan pemiutang yang tersebut di bawah ini, dan bahawa saya adalah diberi kuasa oleh …………………………………………………………………………

untuk membuat afidavit ini, dan bahawa adalah dalam pengetahuan saya sendiri bahawa hutang yang dinyatakan dengan sumpah di bawah ini telah dilakukan, dan bagi balasan yang dinyatakan itu, dan bahawa hutang itu, sepanjang pengetahuan dan kepercayaan saya, masih belum lagi dibayar dan dijelaskan.

(d)

Bahawa saya adalah diberi kuasa, di bawah meterai syarikat yang tersebut di bawah ini, untuk membuat bukti hutang bagi pihaknya.

1.

Bahawa……………………………………………………………………………….…… yang tersebut telah, pada tarikh perintah interim, mengikut pada……………….….…….…. hari bulan………….….…….…………,

20…………….….., dan adalah masih lagi dengan adil dan benar terhutang kepada

bagi jumlah wang itu atau apa-apa bahagian daripadanya saya menyatakan bahawa saya tidak ada

Tarikh

Penyuruh bayar

Penerima

Amaun

Tarikh luput

P.U. (A) 304 30

Bagi pemiutang bercagar, sila nyatakan butiran cagaran kamu, tarikh diberikan dan nilai yang kamu telah taksir,

Diangkat sumpah (atau diikrarkan)

pada………… hari bulan…………………………….. 20………

di………………………………………………………………………….

……………………………………….

Di hadapan saya

…............................................

Pesuruhjaya Sumpah

Bukti itu tidak boleh diperaku bagi mengundi dalam mesyuarat pemiutang melainkan jika ia telah disempurnakan dengan betul dan dikemukakan kepada penama sebelum masa yang dinyatakan dalam notis memanggil mesyuarat itu.

Diperaku undi sebanyak RM.............................. pada………………………… hari bulan…………………………,

20………….

……………………………………

Penama

P.U. (A) 304 31

__________________________________________________________________________________________

KAMU HENDAKLAH MEMBERIKAN PERHATIAN DENGAN TELITI ARAHAN INI

(a)

Di sini masukkan nama dan nombor kad pengenalan penghutang, sebagaimana diberi dalam notis mesyuarat.

(b)

Masukkan nama penuh, nombor kad pengenalan, alamat dan pekerjaan deponen.

Jika bukti dibuat oleh pemiutang, potong fasal (c) dan (d).

Jika dibuat oleh kerani, potong (d).

Jika oleh ejen syarikat potong (c).

(e)

Masukkan saya dan kepada C,D, dan E,F, pekongsi bersama saya dalam perniagaan jika ada, atau, jika oleh kerani masukkan nama, alamat dan perihal prinsipal.

AMBIL PERHATIAN

(atau mereka) di antara tarikh itu (atau wang yang didahulukan saya bagi bil pertukaran yang tersebut di bawah ini) (atau mengikut mana-mana yang berkenaan)]. Lihat di belakang.

*Sila lampirkan dokumen sokongan.

BUTIRAN AKAUN YANG DIRUJUK DI MUKA SEBELAH

(Kredit hendaklah diberikan bagi akaun kontra)

Jika ruang tidak cukup, lampirkan butiran itu, tetapi jika butiran itu dibuat atas lembaran kertas yang berasingan, yang demikian mestilah ditandai oleh orang yang di hadapannya afidavit itu telah diangkat sumpah.

Tarikh

Balasan

Amaun

Catatan

Baucer (sekiranya ada), yang mana akaunnya boleh disahkan, hendaklah dinyatakan di sini.

P.U. (A) 304 32

BORANG 9

(Tajuk am)

CADANGAN PENGHUTANG (k. 11)

1.

Nama penghutang

:

……………………………………………………….

2.

Alamat rumah

:

……………………………………………………….

3.

Nombor telefon penghutang dan alamat e-mel

:

……………………………………………………….

4.

Nama Penama

:

……………………………………………………….

5.

Alamat Penama

:

……………………………………………………….

6.

Nombor telefon penama & alamat e-mel

:

……………………………………………………….

7.

Amaun keseluruhan liabiliti mengikut pernyataan hal ehwal bertarikh……………

8.

Amaun keseluruhan aset mengikut pernyataan hal ehwal bertarikh……………

9.

Tempoh perkiraan sukarela yang dicadangkan

:

……………………………………………………….

PENDAHULUAN

Saya berniat untuk mencadangkan suatu perkiraan sukarela kepada semua pemiutang saya atas sebab-sebab yang berikut:

(1)

………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………

(2)

………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………

P.U. (A) 304 33

(3)

………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………

SENARAI PEMIUTANG (Sekiranya lebih, sila lampirkan helaian berasingan)

Nama dan alamat pemiutang

Amaun hutang 1.

2.

3.

4.

5.

CADANGAN

Dicadangkan bahawa:

(1)

……………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………

(2)

……………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………

(3)

……………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………

AKUAN OLEH PENGHUTANG

Saya, (nama penghutang), penghutang yang disebut di atas dengan ini mengesahkan bahawa dokumen ini menyatakan cadangan saya kepada pemiutang-pemiutang saya untuk perkiraan sukarela dan mengikut pengetahuan dan kepercayaan saya segala pernyataan di sini adalah benar.

Bertarikh………………………………….hari bulan…………………………………20………………………………

………………………………………………

Tandatangan penghutang

(Penghutang hendaklah menandatangan ringkas pada setiap muka surat)

P.U. (A) 304 34

E.

AKUAN OLEH PENAMA

Saya,……………………………(nama penama) mengesahkan bahawa saya telah menyediakan cadangan untuk.…………………….(nama penghutang), penghutang yang disebut di atas menurut subseksyen 2I(2) Akta Insolvensi 1967 [Akta 360] dan saya telah berhati-hati menerangkan kesan-kesan setiap cadangan kepada penghutang itu.

Bertarikh………………………………….hari bulan………………………………………20………………………………

………………………………………………

Tandatangan penama

P.U. (A) 304 35

BORANG 10

(Tajuk am)

NOTIS UNTUK MEMANGGIL MESYUARAT PEMIUTANG (k. 12)

Ambil perhatian bahawa suatu perintah interim telah dibuat di bawah subseksyen 2D(1) Akta

Insolvensi 1967 [Akta 360] oleh Mahkamah Tinggi Malaya/Sabah/Sarawak di………………………….

pada…………………..hari bulan……………..20…….,

Ambil perhatian bahawa suatu mesyuarat pemiutang di bawah seksyen 2I Akta akan diadakan di…………………………………...…………………………………………..……………………………………pada……….hari bulan………………………20…...... pukul………….. pagi/petang.

Ambil perhatian bahawa menurut subseksyen 2K(1) Akta, jika mesyuarat pemiutang dipanggil di bawah seksyen 2I Akta telah meluluskan perkiraan sukarela yang dicadangkan (dengan atau tanpa ubahsuaian), perkiraan sukarela yang diluluskan itu hendaklah mempunyai kesan seolah-olah ia dibuat oleh penghutang semasa mesyuarat dan mengikat tiap-tiap orang yang mempunyai notis dan berhak untuk mengundi di dalam mesyuarat, sama ada orang itu hadir atau tidak atau diwakili dalam mesyuarat, seolah-olah orang itu merupakan pihak kepada perkiraan tersebut.

Bertarikh…………hari bulan……………20………………

…………………………………………

Tandatangan penama

P.U. (A) 304 36

BORANG 11

(Tajuk am)

PROKSI (k. 12)

Saya...............................………………. (pemiutang), dengan ini melantik ………..………………………. untuk menjadi proksi saya dalam mesyuarat pemiutang i dalam perkara di atas.

Bertarikh............................... hari bulan.............................., 20...............................

...............................

Tandatangan

P.U. (A) 304 37

BORANG 12

(Tajuk am)

LAPORAN PENAMA (k. 18)

Penama kepada penghutang di atas dengan ini melaporkan:

Bahawa cadangan penghutang bagi perkiraan sukarela telah dibentangkan dalam suatu mesyuarat pemiutang yang telah diadakan di………………………………………………………………………………………………….pada…………………..hari bulan

……………………………………………..20……………., jam……………… pagi/petang.

Cadangan penghutang adalah seperti berikut:

(Nyatakan terma-terma cadangan dengan sepenuhnya)

………………………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………

Bahawa pemiutang telah hadir atau telah diwakili dalam mesyuarat dengan nilai masing-masing seperti berikut:

Nama pemiutang yang hadir sendiri atau melalui proksi (sekiranya pengerusi adalah pemegang proksi, sila nyatakan)

Amaun tuntutan

Bahawa setiap pemiutang dan nilainya masing-masing telah mengundi bagi setiap resolusi berikut:

P.U. (A) 304 38

Nama pemiutang yang hadir atau diwakili

*Dipersetujui/tidak dipersetujui

* Potong mana-mana yang tidak berkenaan.

*Bahawa cadangan penghutang telah *dipersetujui/tidak dipersetujui.

*Bahawa cadangan penghutang telah dipersetujui dengan ubahsuaian seperti berikut:

(Nyatakan pengubahsuaian dengan sepenuhnya)

………………………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………

Bahawa resolusi mesyuarat pemiutang seperti berikut:

Resolusi

Keputusan

Bertarikh …………hari bulan……………20……….

(Meterai mahkamah)

BORANG 13

………………………………………………

Pengerusi

………………………………………………

Pendaftar

P.U. (A) 304 39

(Tajuk am)

NOTIS UNTUK MENGGANTIKAN PENAMA (k. 19)

Kepada Pendaftar;

Ambil perhatian bahawa………………………………………….(nama penama pengganti), nombor kad pengenalan................................., telah dilantik untuk menggantikan ………………………………(nama penama dahulu) nombor kad pengenalan………………………… untuk bertindak sebagai penama kepada penghutang dalam perkiraan sukarelanya.

Alamat pemyampaian bagi penama pengganti adalah......................................

Bertarikh .................. hari bulan ..............., 20........

………….……………………………......................………..

(Nama penama pengganti dan tandatangan)

Kepada;

Penama dahulu (Nama dan alamat)

………………………………………………………..

Pemiutang (Nama dan alamat)

1.

……………………………………………

2.

……………………………………………

3.

……………………………………………

P.U. (A) 304 40

BORANG 14

(Tajuk am)

PERMOHONAN EX PARTE OLEH PENAMA UNTUK ARAHAN MAHKAMAH (k. 20)

Saya berhasrat untuk membuat permohonan untuk arahan kepada mahkamah (nyatakan butiran perkara).

Dibuat 3 Oktober 2017

[MdI/156/008/AM/2/15 ; PN(PU2)180/III]

DATO' SRI AZALINA BINTI OTHMAN SAID

Menteri di Jabatan Perdana Menteri

P.U. (A) 304 41

INSOLVENCY ACT 1967

INSOLVENCY (VOLUNTARY ARRANGEMENT) RULES 2017

IN exercise of the powers conferred by sections 2C, 2F, 2G, 2I, 2Q and 123 of the Insolvency

Act 1967 [Act 360], the Minister makes the following rules:

Citation and commencement 1.

(1)

These rules may be cited as the Insolvency (Voluntary Arrangement)

Rules 2017.

(2)

These Rules come into operation on 6 October 2017.

Title of proceeding 2.

Every proceeding in court under these Rules shall with necessary additions be intituled as in Form 1.

Application for registered nominee 3.

An application for registered nominee shall be made to the Director General of

Insolvency in Form 2 accompanied with the registration fee as specified in the

First Schedule.

Approval of application 4.

(1)

The Director General of Insolvency may approve the application in writing and state the period of the validity of the registration.

(2)

Where the Director General of Insolvency refuses the application, the

Director General of Insolvency shall notify the applicant of his decision by a notice in writing.

Powers of nominee 5.

(1)

The nominee shall have the power to do all things necessary or expedient for or relating to the performance of his duties.

P.U. (A) 304 42

(2)

Any voluntary arrangement made under these Rules shall expressly provide specific functions, powers and duties to be given to a nominee in supervising and administering its implementation.

(3)

Without prejudice to the generality of subrules (1) and (2), the powers of the nominee shall include the power—

(a)

to preside a meeting of creditors for the purposes to approve debtor’s proposal;

(b)

to require any information from the debtor and his creditors with respect to debtor’s affairs which is necessary for the tabling of debtor’s proposal for a voluntary arrangement;

(c)

to issue forms of proxy for use at the meetings of creditors;

(e)

to do all such things including the carrying out of works necessary for the implementation and supervision of the voluntary arrangement; and

(f)

any other power that is given by the terms of voluntary arrangement as agreed between debtor and creditor.

Duties of nominee 6.

The duties of the nominee are—

(a)

to report to the debtor and his creditors upon the progress of the voluntary arrangement; and

(b)

to inform the Director General of Insolvency of his disqualification to act as a nominee as required under the Act.

P.U. (A) 304 43

Application for interim order 7.

(1)

An application to the court for an interim order under paragraph 2C(2)(b)

of the Act shall be made by summons in chambers in Form 4 and supported by an affidavit in Form 5.

(2)

A copy of Form 3, a list of debtor’s creditors and the estimated amount owed shall be exhibited in the affidavit.

(3)

Where the debtor is a firm—

(a)

the affidavit supporting the application for an interim order may be made by one of the partners of the firm; and

(b)

a copy of consent in writing from all or majority of the partners to enter into a voluntary arrangement, shall be exhibited in the affidavit.

(4)

The court shall fix a date for hearing the application and a copy of the application shall be submitted by the debtor to the Director General of Insolvency and the nominee within seven days from the date of receiving the application.

Interim order 8.

Subject to subsection 2D(2) of the Act, the court shall make an interim order in

Form 6.

Statement of affairs 9.

The debtor shall submit a statement of affairs in Form 7 to the nominee within fourteen days from the date of the interim order given by the court.

Proof of debt 10.

(1)

Every creditor shall file proof of debt in Form 8 within twenty-one days from the date of receiving notification under subsection 2D(5) of the Act.

P.U. (A) 304 44

(2)

Demands in the nature of unliquidated damages arising otherwise than by reason of a contract, promise or breach of trust shall not be provable in voluntary arrangement.

Preparation of proposal 11.

The nominee shall prepare the debtor’s proposal in Form 9 within twenty-one days after receiving statement of affairs.

Summoning of meeting of creditors 12.

(1)

The nominee, after preparing the debtor’s proposal under rule 11, shall summon the meeting of creditors within fourteen days.

(2)

Notice of the meeting of creditors under subrule (1) shall be made in

Form 10 and sent to all of the creditors specified in the debtor’s statement of affairs.

(3)

Every notice summoning the meeting of creditors under subrule (1) shall be accompanied with—

(a)

proxy as in Form 11;

(b)

a copy of the debtor’s proposal; and

(c)

a copy of the statement of affairs or if the nominee thinks fit, a summary of the statement of affairs which shall include a list of the creditors and the amounts of their debts.

Proxy 13.

A creditor may give a proxy to his manager, clerk or any other person in his regular employment to attend the meeting of creditors.

Chairman 14.

The nominee shall be the chairman of the meeting of creditors.

P.U. (A) 304 45

Entitlement to vote 15.

Every creditor who has filed the proof of debt in accordance with rule 10 shall be entitled to vote in person or by proxy at the meeting of creditors or any adjournment of the meeting.

Adjournments 16.

(1)

The chairman of the meeting of creditors may adjourn the meeting to give ample time for the creditor to consider the debtor’s proposal.

(2)

Such adjournment shall not be more than fourteen days from the date of the first meeting.

Minutes of meetings 17.

The chairman shall cause minutes of the proceedings at the meeting of creditors to be recorded and the minutes shall be signed by him.

Report of nominee 18.

(1)

If meeting of creditors has either approve or disapprove the debtor’s proposal, the chairman shall prepare a report in Form 12 and file a copy of the report in the court within seven days from the date of the meeting being held.

(2)

If the nominee reports to the court that the meeting of creditors has disapproved the debtor’s proposal, the court may set aside the interim order which is in force in relation to the debtor.

Replacement of nominee 19.

Where a debtor intends to replace a nominee at any time before the voluntary arrangement is concluded under section 2M of the Act, the debtor shall file Form 13 to the court and serve such form —

(a)

to the former nominee; and

(b)

to all of his creditors.

P.U. (A) 304 46

Application for direction 20.

A nominee may make an application for direction from the court in Form 14.

Fees for voluntary arrangement 21.

(1)

The fees in the Second Schedule shall be paid to the court.

(2)

The scale of fees in Third Schedule shall be payable by the debtor to the nominee either in full or in stages as agreed by the nominee and the debtor.

Disbursement, etc.

22.

A nominee may claim any of his costs, charges, disbursement and expenses in connection with voluntary arrangement not exceeding the amount of two thousand ringgit.

P.U. (A) 304 47

FIRST SCHEDULE

[Rule 3]

FEES FOR REGISTRATION OF NOMINEE

(1)

Item

(2)

Matters

(3)

Fees

1.

Registration of nominee

1,000

P.U. (A) 304 48

SECOND SCHEDULE

[Subrule 21(1)]

FEES FOR PROCEEDINGS IN RELATION TO VOLUNTARY ARRANGEMENT

(1)

Item

(2)

Matters

(3)

Fees

1.

Ex parte application for interim order under voluntary arrangement

40

2.

Interim order under subsection 2D(1)

20

3.

Filing report of the meeting of creditors to court under subsection 2J(1)

10

4.

Application for review of the decision of the meeting of creditors under subsection 2L(1)

20

5.

Order for review of decision of the meeting of creditors under subsection 2L(1)

10

6.

Filing of notice to replace nominee under section 2M

10

7.

Application for direction from the court by nominee under subsection 2N(4)

10

P.U. (A) 304 49

THIRD SCHEDULE

[Subrule 21(2)]

FEES FOR VOLUNTARY ARRANGEMENT

(1)

Item

(2)

Total amount of debts/Matters

(3)

Fees

(%)

1.

For the first RM200,000.00

5

2.

For the next RM500,000.00

3

3.

For the next RM2,000,000.00

1.5

4.

For the next RM7,300,000.00

0.5

5.

Total debts more than

RM10,000,000.00

Negotiable on excess but shall not exceed 0.3% of such excess.

P.U. (A) 304 50

APPENDIX

LIST OF FORMS

Form No.

Name of the form

Rule 1

General title 2 2

Application for registration as a nominee 3 3

Consent of nominee 7 4

Ex parte application for interim order by debtor 7 5

Affidavit in support of application for interim order 7 6

Interim order 8 7

Statement of affairs 9 8

Proof of debt 10 9

Debtor’s proposal 11 10

Notice to summon meeting of creditors 12 11

Proxy 12 12

Report of the nominee 18 13

Notice to replace nominee 19 14

Ex parte application by nominee for court’s direction 20

P.U. (A) 304 51

FORM 1

GENERAL TITLE (r. 2)

In the High Court in Malaya/Sabah/Sarawak at………………………………………….

In Voluntary Arrangement No…………………….of…………………………..20…...

In the matter of…………. (Name of debtor) (Identity card number)

P.U. (A) 304 52

FORM 2

APPLICATION FOR REGISTRATION AS A NOMINEE (r. 3)

PERSONAL DETAILS

1.

Full name

:

2.

Gender

:

3.

Marital status

:

4.

Date of birth

:

5.

Place of birth

:

6.

Nationality

:

7.

Race

:

8.

Identity card number

:

9.

Current office/work address

:

10.

E-mail

:

11.

Handphone number

:

12.

Office/work phone number

:

P.U. (A) 304 53

DECLARATION OF APPLICANT

1.

On signing this application form, I declare that —

General of Insolvency may request;

ACADEMIC QUALIFICATION

1.

Name of the highest academic qualification held

:

2.

Name of the university/institution

:

REQUIREMENTS NEEDED UNDER INSOLVENCY ACT 1967 1.

Categories of applicant by virtue of section 2G (1) Insolvency Act 1967

(Please tick as appropriate)

a registered chartered accountant under the Accountant Act 1967 [Act 94]

an advocate and solicitor admitted and enrolled under Legal Profession Act 1976

[Act 166]

such other person as the Minister prescribed by Gazette under subparagraph 2G(1)(a)(iii) Insolvency Act 1967

If under such other person as the Minister prescribed, please state the prescribed category of such other person:

2.

Date of admission

/registration/enrolment

:

3.

Date of expiry of membership (if any)

:

4.

Years of experience

:

P.U. (A) 304 54

[Act 615]

2.

I am also aware of the punishment for a false declaration in respect of the above, I may be punish under any applicable law in Malaysia.

Date:………………………………………

……………………………………………………………

Signature of the applicant

P.U. (A) 304 55

FORM 3

(General title)

CONSENT OF NOMINEE (r. 7)

Whereas an application is being made by the abovenamed debtor for an interim order,

I…………..…………………………………identity card number…………………………hereby consent and willing to act in relation to the voluntary arrangement.

Dated this...................day of..................., 20...................

..............................................

Signature of nominee

P.U. (A) 304 56

FORM 4

(General title)

EX PARTE APPLICATION FOR INTERIM ORDER BY DEBTOR (r. 7)

I………………, identity card number……………………………. desire to make application to the court for an interim order pursuant to subsection 2C(2)(b) Insolvency Act 1967.

The grounds of the application are set out in my affidavit dated the……………………………….day of………………………20…………

Dated………………………………….the day of………………………………………20………………………………

………………………………………………

Signature of debtor

P.U. (A) 304 57

FORM 5

(General title)

AFFIDAVIT IN SUPPORT OF APPLICATION FOR INTERIM ORDER (r. 7)

I…………………………………of……………………………. affirm and say:

1.

That to my knowledge, information and belief, I am aware that the following execution or legal process has been commenced towards me. The particulars of such execution or legal process are stated as follows:

(a)

………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………

(b)

………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………

(c)

………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………

2.

That I have not filed an application for an interim order during the period of twelve months immediately preceding from the date of this application for an interim order.

3.

That Form 3, a list of all my creditors and the estimated amount owed is hereby produced and marked as exhibit “…………………” and “…………………” and annexed hereto.

Sworn (or affirmed) on the

……….. day of ………………………..…………………., 20………….

at……………………………………………………………………………..

(Through the interpretation of ………………..........................)

Before me,

……………………………………………

Commissioner for Oath

P.U. (A) 304 58

FORM 6

(General title)

INTERIM ORDER (r. 8)

On the application of (name of debtor), identity card number…………….., and on reading of his affidavit dated………………..,

It is ordered that this order shall be valid for a period of ninety days from the date of its making and ceased to have effect on………………………. or in pursuance of subsection 2K(2) of this

Insolvency Act 1967 [Act 360], at the end of thirty days from the date the report of the decision of the meeting was sealed by the court under section 2J of this Act.

And it is ordered that no bankruptcy petition may be made or proceeded with against the debtor and no other proceedings, execution or other legal process may be commenced or continued against the debtor without the leave of the court.

Dated…………the day of……………20………………

(Seal of court)

………………………………………………

Registrar

P.U. (A) 304 59

FORM 7

(General title)

STATEMENT OF AFFAIRS (r. 9)

You are required to fill up, carefully and accurately, this form showing the state of your affairs on the day on which the Interim Order made against you on the …………….day of

………………………………………., 20…….. This form when filled up will constitute your statement of affairs, when complete this statement must be verified on the day declared.

PART A : ASSETS

1.

Land/House

Particular

Land/house 1

Land/house 2

Full address

Secured/unsecured

Name of Joint the owner (if any)

Name of resident and relationship (if land/home occupied by other person)

* If more, please attach separate sheet

2.

Vehicle (Not subjected to Hire Purchase Agreement)

Particulars

Registration number

Type

Used by other person (yes/no)

If yes, name of user and address

Vehicle 1

Vehicle 2

* If more, please attach separate sheet

P.U. (A) 304 60

3.

Other Assets

Tick √

Details

Estimate (RM)

Cash in hand

Balance in Bank

Machinery, fixtures, fittings, utensils, etc.

Farming stock, crops

Household furniture

Intelectual Property (Copyrights, patern, industrial design)

Jewellery/antiques

Others. Please specify

* If more, please attach separate sheet

4.

Stock in trade

Full particulars of every description of property in possession and in reversion not included in any other list are to be set forth in this list.

Full statement and nature of property

Estimated cost (RM)

Estimated to produce

Stock in trade in Malaysia

Stock in trade elsewhere

Stock in trade of goods in transit from or to

Malaysia, notice of the arrival of which had been received

* If more, please attach separate sheet

P.U. (A) 304 61

5.

Bills of exchange

Name of acceptor of bill or note

Address, etc.

Amount of bill or note

Date when due

Estimated to produce

Particulars of any property held as security for payment of bill or note

* If more, please attach separate sheet

6.

Share

Name of the company

Amount held

Current value of the share

* If more, please attach separate sheet

7.

Investment

Name of investment

Name of investment institution

Acquired by cash or loan

Account or policy number

* If more, please attach separate sheet

8.

Insurance policy

Type of insurance

(For instance life,health or others)

Name of insurance company

Estimated saving

Payment per month (RM)

* If more, please attach separate sheet

P.U. (A) 304 62

9.

Book Debts

(an amount debited to a named account in a ledger/ a debt owing to a tradesperson as recorded in his or her account books)

* If more, please attach separate sheet

PART B: DEBTS

1.

Debts (Wholly or partly)

A secured debt is a loan charged on a property wholly or partly (for example house, land, etc.) for the loan. Failure to pay the debt, the property will be auctioned by the bank.

Name of creditor

Address of creditor

Occupation of creditor

(if individual)

Property charged

Amount of debt

Date when given

* If more, please attach separate sheet

2. Unsecured Debts

An unsecured debt is a loan given without any charge.

Name of creditor

Address of creditor

Occupation of creditor

(if individual)

Amount of debt (RM)

Date when given

Name of

Debtor

Residence and

Occupation

Amount of Debt

Folio of

Ledger or their book where particulars to be found

When

Contracted

Estimated to produce

Particulars any securities held for debt

Good

Doubtful

Bad

Month

Year

P.U. (A) 304 63

* If more, please attach separate sheet

3.

Preferential creditors for rent, rates, taxes and wages

Preferential creditors are creditors who will have priority in the distribution of dividend over other creditors (including income tax payable, real estate tax, arrears of employee’s salary and

EPF contribution payable).

Creditor’s name

Period during which claim accrued due

Nature of

Claim

Creditor’s occupation

(if individual)

Creditor’s address

Difference ranking for dividend

Amount payable in full

Amount of claim

Date when due

* If more, please attach separate sheet

PART C: LIABILITY

1.

Liability

Any payment that needs to be paid due to any obligation.

Name of creditors or claimant

Address and occupation

Amount of liability or claim

Date when liability incurred

Nature of liability

* If more, please attach separate sheet

P.U. (A) 304 64

2.

Liability under Hire-Purchase Act 1967 [Act 212]

Name of creditors or claimant

Address and occupation

Amount of liability or claim

Date when liability incurred

Nature of liability

* If more, please attach separate sheet

3.

Liabilities of debtor on bill other than his own acceptances (for debtor who is doing business)

Name of creditors or claimant

Address and occupation

Whether liable as drawer or indorser

Date when due

Amount

Date when liability incurred

* If more, please attach separate sheet

PART D: DEFICIENCY ACCOUNT (for debtor who is doing business)

RM

Excess of assets over liabilites on the (a) ................................. day of............................................. 20........................ if any.

Net profit arising from carrying on business from the

day of..........................................................

20....................., to date of interim order, after deducting usual trade expenses

(if any).

Income from other sources since the (a)................................ day of

...............................................20................... .

P.U. (A) 304 65

Deficiency as per statement of affairs:

(b)

Excess of liabilities over assets on the (a) ....................... day of.................................... 20…….. …… (if any).

Net loss arising from carrying on business from the (a) ...........................................

day of …………………………………….….. 20……………, to date of interim order after deducting from profits the usual trade expenses (if any).

Bad debts (if any) as per schedule (c).

Expenses incurred since the (a) ........................................... day of .................... 20

...................., other than usual trade expenses, viz, household expenses of self and

………………………………………………………………………………………………………………

Surplus as per statement of affairs (if any):

(b)

(a)

12 months before date of interim order or such other time as the nominee may fix.

(b)

These figures should agree.

(c)

This schedule must show when debts were contracted.

(d)

Add wife and children (if any) stating number of latter.

(e)

Here add any other expenses or losses.

P.U. (A) 304 66

DECLARATION

I ………………………………………………… identity card number …………………………. declare and affirm that the particulars set out in this statement are a full, true and complete statement of my affairs.

Sworn (or affirmed)

on the ……….. day of ………………………………., 20………….

at…………………………………………………………………………..

Before me

…………………………………………...

Commissioner for Oath

P.U. (A) 304 67

FORM 8

(General title)

PROOF OF DEBT (r. 10)

I (b) .................................................... aged ............................... residing at ............................... affirm and say:

............................... to make this affidavit, and that it is within my own that knowledge that the debt hereinafter deponed to was incurred, and for the consideration stated, and that such debt, to the best of my knowledge and belief, still remains unpaid and unsatisfied.

1. That the said............................... was, at the date of the interim order, as follows the...............................

day of .............................., 20..............................., and still is justly and truly indebted to (e) ...............................

in the sum of............................... for (f) ............................... as shown by the account endorsed hereto, or by the following account, as follows:

for which sum or any part of the sum I say that I do not have (g) ............................... or any person by

Date

Drawer

Acceptor

Amount

Due date

P.U. (A) 304 68

For secured creditor, please state the particulars of your security, the date when it was given and the value at which you assess it.

Sworn (or affirmed)

on the ……….. day of ……………..…………………., 20………….

at……………………………………………………………………………..

………………..................................

Before me

………………..................................

Commissioner for Oath

The proof cannot be admitted for voting at the meeting of creditors unless it is properly completed and submitted to the nominee before the time named in the notice convening such meeting.

Admitted to vote for RM...................... this ................................ day of ..............., 20......................

................................

Nominee

P.U. (A) 304 69

_______________________________________________________________________________________________________

YOU SHOULD ATTEND CAREFULLY TO THESE DIRECTIONS

(a)

Here insert the name and identity card number of debtor, as given on the notice of meeting.

(b)

Fill in full name, identity card number, address, and occupation of deponent.

If proof made by creditor, strike out clauses (c) and (d).

If made by clerk, strike out (d)

If by agent of company, strike out (c).

(e)

Insert me and to C,D,& E,F, my co-partners in trade if any, or, if by clerk insert name, address, and description of principal.

NOTE THIS

(f)

State consideration (please specify type of debt)[as— Goods sold and delivered by me

(and my said partner) to him (or them) at his (or their) request between the dates of (or, monies advanced by me in respect of the under-mentioned bill of exchange) (or as the case may be)] See back.

(g)

My said partners or any of them or the abovenamed creditor (as the case may be).

(h)

My or our or their or his (as the case may be).

(i)

Here state the particulars of all securities held and where the securities are on the property of the debtor, assess the value of the same, and if any bills or other negotiable securities be held, specify them in the schedule.

*Please attach supporting documents.

PARTICULARS OF ACCOUNT REFERRED TO ON OTHER SIDE

(Credit should be given for contra accounts)

If space not sufficient let the particulars be annexed, but where the particulars are on a separate sheet of paper the same must be marked by the person before whom the affidavit is sworn.

Date

Consideration

Amount

Remarks

The vouchers (if any), by which the account can be substantiated, should be set out here.

P.U. (A) 304 70

FORM 9

(General title)

DEBTOR’S PROPOSAL (r. 11)

1.

Name of debtor

:

……………………………………………………….

2.

Home address

:

……………………………………………………….

3.

Debtor’s phone number & e-mail address

:

……………………………………………………….

4.

Name of Nominee

:

……………………………………………………….

5.

Address of Nominee

:

……………………………………………………….

6.

Nominee’s phone number & e-mail address

:

……………………………………………………….

7.

Total amount of liabilities as per statement of affairs dated……………

8.

Total amount of assets as per statement of affairs dated……………

9.

Duration of voluntary arrangement proposed

:

……………………………………………………….

INTRODUCTION

I intend to propose a voluntary arrangement to all my creditors on the following grounds:

(1)

………………………………………………………………………………………………………………………

……...………………………………………………………………………………………………………………

(2)

………………………………………………………………………………………………………………………

……...………………………………………………………………………………………………………………

(3)

………………………………………………………………………………………………………………………

……...………………………………………………………………………………………………………………

P.U. (A) 304 71

LIST OF CREDITORS (If more, please attach separate sheet)

Name and address of creditors

Amount of debt 1

2

3

4

5

PROPOSALS

It is proposed that:

(1)

……………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………

(2)

……………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………

(3)

……………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………

DECLARATION BY DEBTOR

I,…………………….(name of the debtor), the abovementioned debtor hereby confirms that this document sets out my proposals to my creditors for a voluntary arrangement and that to my knowledge and belief all statements herein are true.

Dated………………………………….the day of………………………………………20………………………………

………………………………………………

Signature of the debtor

(The debtor shall initial each page)

P.U. (A) 304 72

E.

DECLARATION BY NOMINEE

I,…………………………….(name of the nominee) confirm that I have prepared this proposal for

…………………….(name of the debtor), the abovementioned debtor in accordance with subsection 2I(2) of the Insolvency Act 1967 [Act 360] and I have carefully explain the implications of each proposal to the debtor.

Dated………………………………….the day of………………………………………20………………………………

………………………………………………

Signature of the nominee

P.U. (A) 304 73

FORM 10

(General title)

NOTICE TO SUMMON MEETING OF CREDITORS (r. 12)

Take notice that an interim order has been made under subsection 2D(1) of the Insolvency Act 1967

[Act 360]

by the

High

Court of

Malaya/Sabah/Sarawak at……………………………….………………….. on the ………… day of…………………………20…….,

Take notice that a meeting of creditors under section 2I of the Act will be held at

………………………………………………………………………………………………..on the……………..day of

……………………………..20……………., at………………………….. am/pm.

Take notice that pursuant to subsection 2K(1) of the Act, where a meeting of creditors is summoned under section 2I of the Act has approved the proposed voluntary arrangement (with or without modifications), the approved voluntary arrangement shall take effect as if it was made by the debtor at the meeting and shall bind every person who had notice of and was entitled to vote at the meeting, whether or not he was present or represented at the meeting, as if he were a party to the arrangement.

Dated…………the day of……………20………………

………………………………………………

Signature of nominee

P.U. (A) 304 74

FORM 11

(General title)

PROXY (r. 12)

I, ...............................………………. (creditor), hereby appoint the…………………………………………………… to be my proxy in the meeting of creditors in the above matter.

Dated this............................... day of.............................., 20...............................

...............................

Signature

P.U. (A) 304 75

FORM 12

(General title)

REPORT OF THE NOMINEE (r. 18)

The nominee for the above debtor hereby reports:

That the debtor’s proposal for voluntary arrangement has been tabled in a meeting of creditors which was held at …………………………………………………….…………………………..on the…………………..day of ………………………………….20……………., at………… am/pm.

The debtor’s proposal as follows:

(Set out the terms of the proposal fully)

………………………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………..

That the creditors who were present or represented in the meeting and their respective values are as follows:

Names of the creditors present in person or by proxy

(if the chairman is the proxy holder, please state)

Amount of claim

P.U. (A) 304 76

That each of the creditors and its respective value has voted for each of the resolution as follows:

Names of the creditors present or represented

*Approved/Disapproved

* Delete whichever is inapplicable.

*That debtor’s proposal has been *approved/disapproved.

*That the debtor’s proposal has been approved with modifications are as follows:

(Set out the modifications fully)

………………………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………

That the following resolution in the meeting of creditors as follows:

Resolutions

Decision

Dated…………the day of……………20………………

(Seal of court)

………………………………………………

Chairman

………………………………………………

Registrar

P.U. (A) 304 77

FORM 13

(General title)

NOTICE TO REPLACE NOMINEE (r. 19)

To the Registrar;

Take notice that………………..(name of replacing nominee), identity card number…………… has been appointed to replace……………………(name of former nominee), identity card number…………….to act as the nominee of the abovenamed debtor in his voluntary arrangement.

The address for service of the replacing nominee is .........................

Dated the .................. day of .............................., 20........

………………………………………......................………..

(Name of replacing nominee and signature)

To;

Former nominee (Name and address)

………………………………………………………..

Creditor (Name and address)

1.

……………………………………………

2.

……………………………………………

3.

……………………………………………

P.U. (A) 304 78

FORM 14

(General title)

EX PARTE APPLICATION BY NOMINEE FOR COURT’S DIRECTION (r. 20)

I desire to make application to the Court for direction (here state the particular matter).

Made 3 October 2017

[MdI/156/008/AM/2/15; PN(PU2)180/III]

DATO' SRI AZALINA BINTI OTHMAN SAID

Minister at the Prime Minister’s Department