FORM NO. 39
[See Rule 78]

[Heading as in Form No.1]

Company Application No. _______ of 20__ ___________ Applicant (s). Report by Chairman

I, _________, the person appointed by this Hon'ble Court to act as chairman of the meeting of (the debenture holders or unsecured creditors or secured creditors or preference shareholders or equity shareholders) of the above named company, summoned by notice served individually upon them and by advertisement dated the ____ day of __________ 20__ and held on the _______ day of ______ 20__ at __________, do hereby report to this Hon'ble Court as follows;

1. The meeting was attended either personally or by proxy by (here state the number of creditors or the class of creditors or the number of members or class of members as the case may be, who attend the meeting) of the sad company entitled together to _____ ( here mention the total value of the debts, or debentures, where the meeting was of creditors, and the total number and value of the shares, where the meeting was members, of those who attended the meeting)

2. The compromise or arrangement was read out and explained by me to the meetings and the question to the said meeting was whether the [ here state the class of creditors, or members as the case may be] of the said company approved of the said compromise or arrangement submitted to the meeting and agreed thereto.

3. The said company was unanimously of the opinion that the compromise or arrangement should be approved and agreed to/or the result of the voting upon the said question was as follows:

The under mentioned [here mention the class of the creditors or members who attended the meeting] voted in favour of the proposed compromise or arrangement being adopted and carried into effect:-

-------------------------------------------------------------------
Sr.No Name of Creditor Address of member Value of debts (or Numbers of preference or Equity shares held)

If the compromise or arrangement was approved with modification, it should be so stated and the modification made should be set out, and also the particulars of the voting on the modifications.

The under mentioned [here mention the class of creditors or members who attended the meeting voted against the proposed compromise or arrangement being adopted or carried into effect:-

Sr.No Name of Creditor Address of member Value of debts (or Numbers of preference or Equity shares held)
1
2
3
Etc.

Dated this -------------day of-------20---- ( Sd) E.F..