This application is made by the undersigned who have /has been duly authorised to do has so by virtue of a resolution (copy enclosed) adopted by a majority of the members present at a meeting of the.................held on the.................
A statement giving the particulars required under rule 3 of the Industrial Disputes (Central) Rules, 1957, is attached. Dated the ....................
Signature of employer"..........................
oragent .............................................
or manager.........................................
or principal officer of the Corporation ...............
Signature of the
President of the trade union** .................
Secretary of the trade union ....................
Or
Signature of five representatives duly authorised (vide resolution enclosed) ...............................................
Or
"Signature of the workman .....................
Or
Signature of the workman in the same establishment duly authorised (vide authorisation enclosed) ............................
To
The Secretary to the Government of India,
Ministry of Labour.
Statement required under rule 3 of the Industrial Disputes (Central) Rules, 1957, to accompany the form of application prescribed under subsection (2) of section 10 of the Industrial Disputes Act, 1947:
(a) Parties to the dispute including the name and address of the establishment or undertaking involved;
(b) Specific matters in dispute;
(c) Total number of workmen employed in the undertaking affected;
(d) Estimated number of workmen affected or likely to be affected by the dispute;
(e) Efforts made by the parties themselves to adjust the dispute.
Copy to
(i) The Assistant Labour Commissioner (Central) .................here enter office address of the Assistant Labour Commissioner (Central) in the local area concerned;
(ii) The Regional Labour Commissioner (Central);
(iii) The Chief Labour Commissioner (Central), New Delhi.
**Delete whichever is not applicable