Applicant(s): [insert initials and surname]: [insert number of witness statement eg 1st] Exhibit: [insert exhibit description]: Date: [insert date of witness statement]

CASE NO: [insert case number]

[IN THE HIGH COURT OF JUSTICE

BUSINESS AND PROPERTY COURTS OF ENGLAND AND WALES

INSOLVENCY AND COMPANIES LIST (ChD)

OR

IN THE HIGH COURT OF JUSTICE

BUSINESS AND PROPERTY COURTS IN [insert location]

INSOLVENCY AND COMPANIES LIST (ChD)

OR

IN THE COUNTY COURT AT [insert location]]

[IN THE MATTER OF [insert company’s name]

OR

IN THE MATTER OF [insert bankrupt’s name]

IN BANKRUPTCY]

AND IN THE MATTER OF THE INSOLVENCY ACT 1986

BETWEEN

1. [Insert name(s) of the OFFICE-HOLDER(s)]        Applicant(s)

1. AND

1. [Insert name(s) of the respondent(s)]        Respondent(s)

[INSERT NUMBER] Witness statement of [Insert name OF OFFICE-HOLDER]

I, [insert name of the office-holder] of [insert the office-holder's business address] WILL SAY as follows:

General

1. 1. 1

      I am a [insert position] in [insert the