IN THE HIGH COURT AT SHAH ALAM

IN THE STATE OF SELANGOR DARUL EHSAN

(Commercial Division)
Companies (Winding-up) No………………..of………………….

In the matter of section [insert section]

of the Companies Act 2016

AND

In the matter of
Companies (Winding-Up) Rules 1972

AND

In the matter of [debtor company]

BETWEEN

XXX PETITIONER

AND

BBB
(Company Registration No……..) RESPONDENT

AFFIDAVIT VERIFYING PETITION

I, [name and NRIC number] a Malaysian of full age and residing at [insert address] do hereby
affirm and state the following:

1. I am the [state designation - director/secretary/other principle officer] of [petitioner

name and NRIC/company registration number], the abovenamed Petitioner, and am
duly authorized to affirm this Affidavit.

2. Save as otherwise stated herein, I aver that all the facts stated herein are within my
personal knowledge.

3. Such statements in the Petition now produced and shown to me and marked as
EXHIBIT “AAA – 1” relating to the Petitioner’s acts and deeds are true, and the said
statements as relate to the acts and deeds of any person or persons I believe to be
true.

1
4. With regards to paragraph 1, 2 and 3 of the Petition a copy of the Respondent
company’s (hereinafter referred to as “the Company”) corporate information,
shareholding and financial information are now shown to me and marked as EXHIBIT
“AAA -2”.

5. With regards to Paragraph 4 of the Petition, a copy of the Company’s constitution is

now produced and shown to me and marked as EXIBIT “AAA-3”.

6. Pursuant to paragraph 9 of the Petition, the notice pursuant to Section 466 of the
Companies Act 2016 dated [ ] and a copy of the Statutory Declaration relating to
the service of the Notice are now produced and shown to me and marked
collectively as EXHIBIT “AAA-4”.*

Wherefore, I humbly pray for an order in terms of the application made in the Petition.

Affirmed by deponent of this Affidavit )

[name and NRIC of deponent] )
On )
At am/pm )
In )
[Translation not required] )

……………………………………….
Commissioner of Oaths

This Affidavit Verifying Petition is filed by ……..

* Note: The process server’s Statutory Declaration will contain these documents as exhibits:
The s. 466(1)(a) statutory notice which was served on the debtor company together with
documents supporting the undisputed amount.