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Format of Application For Industrial Disputes Claim

Format of Application For Industrial Disputes Claim

BEFORE THE PRESIDING OFFICER INDUSTRIAL TRIBUNAL, CUM- LABOUR COURT, NO_________.

Mr./Ms. _________ S/o,D/o

Shri _________,  Resident of _________, District, State _________

………. APPLICANT/CLAIMANT

VERSUS

_________ Address _________, _________   Through its _________, _________

……….RESPONDENT

APPLICATION UNDER SECTION _________ , OF THE INDUSTRIAL DISPUTES ACT, _________

Sir,

It is respectfully submitted as under: –

1-    That the respondent appointed the applicant/claimant on __________________.
2-    That the applicant/claimant __________________.
3-    That on __________________.
4-    That the claimant __________________.
5-    That __________________.
6-    That the _________ other dues which are outstanding against respondent are fully mentioned in the Annexure-A enclosed herewith.
7-    That the applicant/claimant is entitled to receive _________ from the respondent as annexed in  Annexure-A.

It is, therefore, prayed that the application of the applicant may kindly be accepted and order may kindly be passed to make the payment of __________/- with interest to the applicant/claimant which is fully mentioned in Annexure–A.

Applicant/Claimant

_________  S/o/D/o _________ Resident _________
Through A.R.

_________
Seat No. _________, _________
_________  Courts, _________

VERIFICATION:

Verified that the contents of my above application from Paras No. _________  to _________  are true to best of my knowledge and belief.

Verified at _________ on_________

Applicant/Claimant


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