GROUP APPLICATION
[See sub-sec. (2) of ss. 15 and 16 of the Payment of Wages Act 1936]

In the Court of the Authority appointed under the Payment of Wages Act (IV of 1936) for…………area.
Application No……of 20…..	
Between ABC and state the number………..others……………….	
                                                                                                        Applicants
 (Through a Legal Practitioner)
an official of	which is a
registered trade union And XYZ		          Opposite party
The applicants state as follows:
1. The applicants whose names appear in the attached schedule are
persons employed in the factory.
on Railway                                                                      entitled	
                                                                          Industrial establishment
2. The addresses of the applicants for service of all notices and processes are:
3. XYZ, the opposite party, is the person responsible for the payment of wages under s. 3 of the Act, and his address for the service of all notices and processes is:
4. The applicants' wages have not been paid for the following wage period(s).
5. The applicants estimate the value of the relief sought by them at the sum of Rupees	
6. The applicants pray that a direction may be issued under sub-sec. (3) of s. 15 for—
(a) Payment of the applicants' delayed wages as estimated	
or such greater or lesser amount as the authority may find to be due.
(b) Compensation amounting to	
The applicants certify that the statement of facts contained in this application is to the best of their knowledge and belief accurate.
                                                                      Signature or thumb impression of
                                                                      two of the applicants or legal 
                                                                      practitioner/an official of a 
                                                                      registered trade union duly 
                                                                      authorised