Rule 10.35
1. Debtor’s title.
2. Debtor’s identification details.
3. Any previous name or other names by which the debtor is known or has been known during the last five years immediately before the date of the bankruptcy application.
4. Debtor’s contact telephone number.
5. Debtor’s email address (if any).
6. Debtor’s date of birth.
7. Debtor’s National Insurance number.
8. Debtor’s gender.
9. Any previous address at which the debtor has resided during the three years immediately before the date of the bankruptcy application.
10. Whether the debtor is—
(a)single;
(b)married;
(c)divorced;
(d)co-habiting;
(e)separated;
(f)widowed;
(g)a civil partner;
(h)a former civil partner; or
(i)a surviving civil partner.
11. All occupants of the debtor’s household and in relation to each person—
(a)name;
(b)age;
(c)relationship to the debtor; and
(d)whether or not that person is dependent on the debtor.
12. Any other person dependent on the debtor and in relation to each person—
(a)name;
(b)age;
(c)postal address; and
(d)reason for that person’s dependency on the debtor.
13. Debtor’s occupation (if any).
14. Debtor’s employment status.
15. Where the debtor is employed—
(a)date when the debtor commenced the employment; and
(b)name and address of the employer.
16. Where the debtor is unemployed—
(a)date when the debtor was last employed;
(b)date when the debtor commenced the employment; and
(c)name and address of the last employer.
17. Where the debtor has worked for any previous employers during the 12 months immediately before the date of the bankruptcy application—
(a)dates of that employment; and
(b)name and address of those employers.
18. Where the debtor is, or has been, self-employed other than as a partner in a partnership, during the three years preceding the date of the bankruptcy application, in respect of each business—
(a)date when the business commenced trading;
(b)name and trading address of the business;
(c)name or names, other than the debtor’s name, in which the debtor carried on business;
(d)nature of the business;
(e)trading address or addresses of the business and any address or addresses at which the debtor has carried on business during the period in which any of the debtor’s bankruptcy debts were incurred; and
(f)the date the business ceased trading, if applicable.
19. Where the debtor traded in a partnership at any time in the three years immediately preceding the date of the bankruptcy application, in respect of each partnership—
(a)date the partnership commenced;
(b)name and trading address of the partnership;
(c)trading address or addresses of the partnership and any address or addresses at which the partnership has carried on business during or after the time when any of the debtor’s bankruptcy debts were incurred; and
(d)date the partnership ceased, if applicable.
20. Where the debtor is, or has been, a director or involved in the management of a company during the 12 months immediately preceding the date of the bankruptcy application—
(a)name and contact details for each company; and
(b)in the case of any company mentioned in accordance with sub paragraph (a) that is subject to any insolvency proceedings, the office-holder and contact details for that office-holder.
21. In respect of each creditor—
(a)name and address;
(b)account number or reference (if known);
(c)date the debt was incurred;
(d)the amount the creditor claims the debtor owes the creditor; and
(e)where the debt is secured, the property of the debtor which is claimed by the creditor to clear or reduce the creditor’s debt.
22. Where the debtor has an interest in a property, in relation to each property, its address.
23. Where the debtor is, or has been in the five years immediately preceding the date of the bankruptcy application, involved in proceedings for divorce, separation or the dissolution of a civil partnership—
(a)identity of the proceedings;
(b)nature of the proceedings; and
(c)date and details of any resolution of those proceedings and any agreed settlement, whether formal or informal, and any gifts or transfers of property that occurred in, or as a result, of those proceedings.
24. Where the debtor is involved in proceedings, other than proceedings for divorce, separation or the dissolution of a civil partnership—
(a)identity of the proceedings;
(b)nature of the proceedings; and
(c)date and details of any interim settlement, whether formal or informal, and any interim orders.
25. Total value of assets.
26. Total value of liabilities.
27. Debtor’s net monthly income from all sources.
28. Debtor’s monthly surplus income calculated by reference to paragraphs 23 to 30 of Schedule 8 (additional information to be provided in the bankruptcy application).