[See Rule 62 (2)]
APPLICATION UNDER SECTION _________ , OF THE INDUSTRIAL DISPUTES ACT, _________
_________ VERSUS _________
The applicant/claimant _________ with the respondents and he be entitled to receive from the respondent of _________ /- mentioned in the statement hereto annexed.
It is, therefore, prayed that the hon’ble court may kindly be pleased to determine the amount due to the applicant/claimant.
Dated: _________ CLAIMANT