Application For Determination Of The Amount From The Employer Labour Act 1958 - Legal Draft

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Category : Labour Act

APPLICATION FOR DETERMINATION OF THE AMOUNT FROM THE EMPLOYER

                                                      Form K3
                                            [See rule 62(2)]
                  Application under subsection (2) of section 33C of the Industrial Disputes Act, 1947
                  Before the Central Government Labour Court at .................
         Between
         (1) Name of the applicant(s).
         (2) Name of the employer.

The petitioner .................................................................... a workman of /The petitioners undersigned, workmen of M/S ................. of ................. is/are entitled to receive from the said M/s. ................. .............the money/benefits mentioned in the statement hereto annexed.

It is prayed that the Court be pleased to determine the amount/amounts due to the petitioner(s).

                                                                        Address(es)
Station .................                                                     Signature or thumbimpression(s) of the applicant(s)
Date .................                                             1.
                  2.
                  3.
                                                                        4.

ANNEXURE

[Here set out details of the money due or the benefits accrued together with the case for their admissibility.]